Observational studyTechniques in coloproctology2019
Longer small bowel segments are resected in emergency surgery for ileocaecal Crohn's disease with a higher ileostomy and complication rate.
Observational study in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- A systemic review and metaanalysis of postoperative outcomes in urgent and elective bowel resection in patients with Crohn's disease.International journal of colorectal disease · 2021Pooled it
- Development and validation of a CT-based body composition model for predicting adverse outcomes in small bowel obstruction.Frontiers in medicine · 2026Article
- Preoperative immunosuppressive therapy might not affect the length of resected bowel in patients receiving ileocolic resection for Crohn's disease.International journal of colorectal disease · 2025Article
- Outcomes of intended temporary stomas in Crohn's disease (INTESTINE study): international, multicentre, retrospective study.BJS open · 2025Article
- Temporal trends in surgery for Crohn's disease: a ten-year single-center retrospective study.International journal of colorectal disease · 2023Article
- Early Anti-Tumor-Necrosis-Factor Therapy for Crohn's Disease-Related Abdominal Abscesses and Phlegmon in Children.Digestive diseases and sciences · 2023Article
- Ileal Crohn's disease fistulating into a Meckel's diverticulum.ANZ journal of surgery · 2022Article
- The INTESTINE study: INtended TEmporary STomas In crohN's diseasE. Protocol for an international multicentre study.Updates in surgery · 2022Article
- Therapeutic strategies in Crohn's disease in an emergency surgical setting.World journal of gastroenterology · 2022Review
- Surgery versus Medical Therapy in Luminal Ileocecal Crohn's Disease.Clinics in colon and rectal surgery · 2022Review
- Article
- LaparoscopicWorld journal of gastrointestinal surgery · 2021Article
- Preoperative assessment of skeletal muscle mass during magnetic resonance enterography in patients with Crohn's disease.Updates in surgery · 2021Article
- Anastomosis configuration and technique following ileocaecal resection for Crohn's disease: a multicentre study.Updates in surgery · 2021Observational
- [Minimally invasive and robot-assisted surgery for chronic inflammatory bowel disease : Current status and evidence situation].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- COVID-19 pandemic: perspectives on an unfolding crisis.The British journal of surgery · 2020Article
- Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): Crohn's disease.Techniques in coloproctology · 2020Review
- Previous Intestinal Resection Is Associated with Postoperative Complications in Crohn's Disease: A Cohort Study.Gastroenterology research and practice · 2020Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRepeated intestinal resections may have disabling consequences in patients with Crohn's disease even in the absence of short bowel syndrome. Our aim was to evaluate the length of resected small bowel in patients undergoing elective and emergency surgery for ileocolic Crohn's disease.
methodsA prospective observational study was conducted on patients undergoing surgery for ileocolonic Crohn's disease in a single colorectal centre from May 2010 to April 2018. The following patients were included: (1) patients with first presentation of ileocaecal Crohn's disease undergoing elective surgery; (2) patients with ileocaecal Crohn's disease undergoing emergency surgery; (3) patients with recurrent Crohn's disease of the distal ileum undergoing elective surgery. The primary outcomes were length of resected small bowel and the ileostomy rate. Operating time, complications and readmissions within 30 days were the secondary outcomes.
resultsOne hundred and sixty-eight patients were included: 87 patients in the elective primary surgery group, 50 patients in the emergency surgery group and 31 in the elective redo surgery group. Eleven patients (22%) in the emergency surgery group had an ileostomy compared to 10 (11.5%) in the elective surgery group (p < 0.0001). In the emergency surgery group the median length of the resected small bowel was 10 cm longer than into the group having elective surgery for primary Crohn's disease.
conclusionsPatients undergoing emergency surgery for Crohn's disease have a higher rate of stoma formation and 30-day complications. Laparoscopic surgery in the emergency setting has a higher conversion rate and involves resection of longer segments of small bowel.
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