Evidence map›Paper›PMID 42909497›Full record

ArticleSurgical endoscopy2026

Risk factors for postoperative intra-abdominal abscess following minimally invasive ileocecal resection in children with Crohn's disease.

Angélique Sauvée, Mathilde Glénisson, Christine Martinez-Vinson, Liza Ali, Chloé Lefébure, Pierre Pardessus, Arnaud Bonnard, Louise Montalva

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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Angélique SauvéeDepartment of Pediatric Surgery, Robert-Debré Children University Hospital, Paris-Cité University, Assistance Publique-Hôpitaux de Paris, 48 Boulevard Sérurier, 75019, Paris, France.
Mathilde GlénissonDepartment of Pediatric Surgery, Robert-Debré Children University Hospital, Paris-Cité University, Assistance Publique-Hôpitaux de Paris, 48 Boulevard Sérurier, 75019, Paris, France.
Christine Martinez-VinsonDepartment of Pediatric Gastroenterology, Robert-Debré Children University Hospital, APHP, Paris-Cité University, Paris, France.
Liza AliDepartment of Pediatric Surgery, Robert-Debré Children University Hospital, Paris-Cité University, Assistance Publique-Hôpitaux de Paris, 48 Boulevard Sérurier, 75019, Paris, France.
Chloé LefébureDepartment of Pediatric Surgery, Robert-Debré Children University Hospital, Paris-Cité University, Assistance Publique-Hôpitaux de Paris, 48 Boulevard Sérurier, 75019, Paris, France.
Pierre PardessusDepartment of Pediatric Anesthesiology, Robert-Debré Children University Hospital, APHP, Paris-Cité University, Paris, France.
Arnaud BonnardDepartment of Pediatric Surgery, Robert-Debré Children University Hospital, Paris-Cité University, Assistance Publique-Hôpitaux de Paris, 48 Boulevard Sérurier, 75019, Paris, France.
Louise MontalvaDepartment of Pediatric Surgery, Robert-Debré Children University Hospital, Paris-Cité University, Assistance Publique-Hôpitaux de Paris, 48 Boulevard Sérurier, 75019, Paris, France. louise.montalva@aphp.fr.ORCID http://orcid.org/0000-0001-8357-9609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric-onset Crohn's disease (CD) is associated with a more severe disease course than adult-onset CD, with earlier progression to complications, and frequent need for surgery. Ileocecal resection (ICR) is the most commonly performed surgery. Postoperative intra-abdominal (IAA) abscess is a frequent and potentially severe complication following ICR in children. The aim of this study was to identify independent risk factors associated with postoperative IAA following minimally invasive ICR in children with CD.

methodsWe conducted a retrospective single-center study including patients < 18 years who underwent laparoscopic or robotic ICR for CD between January 2000 and December 2023. Clinical, surgical, and postoperative data were collected. The primary outcome was the occurrence of IAA within 30 days of surgery. Univariate and multivariate logistic regression were performed to identify independent predictors.

resultsSeventy-eight patients were included. The overall incidence of postoperative IAA was 19%. Multivariate analysis identified three factors associated with postoperative IAA: intraoperative identification of an abscess and/or fistula (OR 34.79; 95% CI [3.25-374.86]; p = 0.009), intraoperative complications (OR 12.83; 95% CI [1.93-84.53]; p = 0.01), and performance of an additional surgical procedure during ICR (OR 83.40; 95% CI [4.63-1503.55]; p = 0.001). Occurrence of IAA was associated with prolonged postoperative hospital stay and delayed initiation of medical therapy.

conclusionsPostoperative IAA after minimally invasive ICR in children with CD was associated with intraoperative disease severity and surgical complexity. These findings highlight the importance of careful intraoperative assessment and individualized surgical decision-making in patients with complex disease or intraoperative complications.

Indexed as

Abdominal infectious complicationsIleocecal resectionPediatric Crohn’s diseasePostoperative abscess

Identifiers

PMID42909497

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.