Iesalnieks, I. and Dederichs, F. and Kilger, A. and Schlitt, H. J. and Agha, A. (2012) Postoperative Morbidity after Bowel Resections in Patients with Crohn's Disease: Risk, Management Strategies, Prevention. ZEITSCHRIFT FUR GASTROENTEROLOGIE, 50 (6). pp. 595-600. ISSN 0044-2771,
Full text not available from this repository. (Request a copy)Abstract
The postoperative morbidity rate following bowel resections for Crohn's disease is higher than for other benign disease. The incidence of postoperative intraabdominal septic complications (anastomotic leak, bowel fistula, intraabdominal abscess, peritonitis) is 5 - 30 %. Preoperative weight loss, prolonged refractory symptoms and penetrating disease behaviour are significant determinants of postoperative complication risk. Preoperative enteral nutrition, antibiotics, percutaneous abscess drainage and cessation of steroids might reduce the risk of surgery, however, more evidence is needed. The intake of immunosuppressive agents (mainly, azathioprine) can be continued perioperatively. The occurrence of postoperative intraabdominal septic complications is associated with an increased risk of surgical recurrence in patients with terminal ileitis, however, the long-term prognosis could be improved in the latter patients by secondary fecal diversion. There is no association between postoperative morbidity and long-term outcome in patients with Crohn's colitis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INTRAABDOMINAL SEPTIC COMPLICATIONS; TO-END ANASTOMOSIS; STAPLED ANASTOMOSIS; PREOPERATIVE MANAGEMENT; VIENNA CLASSIFICATION; MULTIVARIATE-ANALYSIS; ILEOCECAL RESECTION; SURGERY; RECURRENCE; STRICTUREPLASTY; Crohn's disease; surgery; outcome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 May 2020 09:45 |
| Last Modified: | 12 May 2020 09:45 |
| URI: | https://pred.uni-regensburg.de/id/eprint/18624 |
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