Copyright
©The Author(s) 2016.
World J Gastroenterol. Jun 7, 2016; 22(21): 5068-5078
Published online Jun 7, 2016. doi: 10.3748/wjg.v22.i21.5068
Published online Jun 7, 2016. doi: 10.3748/wjg.v22.i21.5068
Mean age at the time of surgery (yr) | 36.4 ± 13.4 | Adalimumab | 22 (13.7) |
Mean age at diagnosis (yr) | 28.7 ± 13.1 | Anti-TNF naive at the time of surgery | 37 (23.0) |
Median disease duration (yr) (IQR) | 5.8 (2.0–11.7) | Type of surgery | |
Female gender | 93 (57.8) | Ileocecal resection | 76 (47.2) |
Mean weight (kg) | 60.2 ± 14.8 | Ileal resection | 21 (13.1) |
Mean body mass index (kg/m²) | 21.5 ± 4.9 | Ileo-colectomy | 14 (8.7) |
Active smoker | 53 (32.9) | Partial colectomy | 31 (19.2) |
Familial history of IBD | 20 (12.4) | Subtotal colectomy | 8 (5.0) |
Previous appendectomy | 67 (41.6) | Total colectomy | 9 (5.6) |
Previous intestinal resection | 50 (31.1) | Abdomino-perianal amputation | 2 (1.2) |
Montreal classification | Site of anastomosis | ||
Age at diagnosis | Ileo-colic | 91 (66.4) | |
A1 | 15 (9.3) | Ileo-rectal | 9 (6.6) |
A2 | 116 (72.1) | Ileo-ileal | 21 (15.3) |
A3 | 28 (17.4) | Colo-colonic | 31 (22.6) |
Crohn’s disease location | Colo-rectal | 7 (5.1) | |
L1 | 64 (39.8) | Stomia | |
L2 | 21 (13.0) | None | 113 (70.2) |
L3 | 75 (46.6) | Transitory | 39 (24.2) |
L4 | 18 (11.2) | Definitive | 9 (5.6) |
Crohn’s disease behaviour | Surgical technic of anastomosis | ||
B1 | 12 (7.4) | Stapled | 46 (43.8) |
B2 | 75 (46.6) | Handsewn | 59 (56.2) |
B3 | 74 (46.0) | Type of anastomosis | |
Perianal lesions | 69 (42.8) | Side-to-end | 18 (18.0) |
Anal ulceration, fissure | 15 (9.3) | Side-to-side | 54 (54.0) |
Fistula/abscess | 54 (33.5) | End-to-end | 28 (28.0) |
Medication at the time of surgery | Mean length of ileal resection (cm) | 18.1 ± 17.1 | |
5-ASA | 24 (14.9) | Mean length of colonic resection (cm) | 14.3 ± 17.7 |
Steroids | 38 (23.6) | Mean length of digestive resection (cm) | 31.6 ± 18.8 |
Budesonide | 9 (5.6) | Perioperative complications | 25 (16.8) |
Thiopurines | 36 (22.4) | Free margin resection | 21 (17.1) |
Methotrexate | 5 (3.1) | Granuloma | 47 (40.5) |
Infliximab | 15 (9.3) | Median CRP level, mg/L (IQR) | 17.0 (3.8-61.0) |
- Citation: Boucher AL, Pereira B, Decousus S, Goutte M, Goutorbe F, Dubois A, Gagniere J, Borderon C, Joubert J, Pezet D, Dapoigny M, Déchelotte PJ, Bommelaer G, Buisson A. Endoscopy-based management decreases the risk of postoperative recurrences in Crohn’s disease. World J Gastroenterol 2016; 22(21): 5068-5078
- URL: https://www.wjgnet.com/1007-9327/full/v22/i21/5068.htm
- DOI: https://dx.doi.org/10.3748/wjg.v22.i21.5068