Management and outcomes of surgical patients with intestinal Behçet’s disease and Crohn’s disease in southwest China

Table 2 Surgery and postoperative parameters of patients with gastrointestinal involvement in Behçet's disease and Crohn’s disease

	GIBD (n = 10)	CD (n = 106)	P value
Diagnosed after first surgery, n (%)	7 (70.0)	56 (52.8)	0.341
Duration from initial diagnosis to first surgery (mo, mean ± SD)	27.67 ± 23.03(n = 3)1	41.60 ± 39.22(n = 50)2	0.548
Indications for first surgery, n (%)
Perianal abscess or fistula	0	10 (9.4)	0.597
Intestinal fistulae	0	44 (41.5)	0.013
Ileus	0	40 (37.7)	0.015
Abdominal abscess	0	12 (11.3)	0.596
Acute intestinal perforation	7 (70)	0	< 0.001
Diagnostic surgery for acute abdomen	3 (30)	0	< 0.001
First operation type, n (%)
Segmental resection and ostomy	7 (70)	48 (45.3)	0.188
Perforation repairmen + drainage	1 (10)	0	0.086
Segmental resection	2 (20)	37 (34.9)	1.000
Drainage	0	21 (19.8)	0.204
Others	0	1 (0.9)	1.000
Ostomy closure, n (%)	5 (71.4)3	29 (60.4)4	0.696
Ostomy to ostomy closure (mo, mean ± SD)	18.60 ± 10.14	13.86 ± 10.58	0.359
Recurrence, n (%)	5 (50)	41 (38.7)	0.515
Recurrence from first surgery (mo, mean ± SD)	7.87 ± 7.37	10.43 ± 8.97	0.543
Recurrence location, n (%)
Anastomosis	5 (100)	32 (78.8)	0.566
Others	2 (40)	26 (63.4)	0.365
Reoperations, n (%)	4 (40)	28 (26.4)	0.460
Duration from first surgery to reoperation (mo, mean ± SD)	5.75 ± 4.99	18.04 ± 16.30	0.150
Postoperative complications, n (%)	4 (40)	25 (23.6)	0.265
GI bleeding	1 (10)	5 (4.7)	0.425
Anastomotic fistula	2 (20)	23 (21.7)	1.000
Intraabdominal infection	4 (40)	12 (11.3)	0.031
Others	1 (10)	4 (3.8)	0.368
Mortality, n (%)	1 (10)	2 (1.9)	0.239

Patients with gastrointestinal involvement in Behçet's disease (GIBD) required surgery always for acute and emergency complications, while elective surgeries were more common in patients with Crohn’s disease (CD). The average period of postoperative recurrence was 7.87 mo with a range of 0.3 to 18 mo in GIBD patients and 10.43 mo with a range of 2 to 36 mo in CD patients.

¹Three (30.0) patients with GIBD were diagnosed before first surgery.

²Fifty (47.2) patients with CD were diagnosed before first surgery.

³Seven (70.0) patients with GIBD underwent surgery including the operation type of ostomy.

⁴Forty-eight (45.3) patients with CD underwent surgery including the operation type of ostomy. CD: Crohn’s disease; GIBD: Gastrointestinal involvement in Behçet's disease; SD: Standard deviation.