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Factors associated with surgical resection in patients with Crohn's disease: long-term evaluation

Ferreira, Sandro da Costa ; Aprile, Lílian Rose Otoboni ; Parra, Rogério Serafim ; Feitosa, Marley Ribeiro ; Castro, Patrícia Picardi Morais de ; Perdoná, Gleici de Castro da Silva ; Feres, Omar ; Rocha, José Joaquim Ribeiro da ; Troncon, Luiz Ernesto de Almeida

Acta Cirúrgica Brasileira, 2024-01, Vol.39, p.e391924 [Periódico revisado por pares]

Brazil: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia

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  • Título:
    Factors associated with surgical resection in patients with Crohn's disease: long-term evaluation
  • Autor: Ferreira, Sandro da Costa ; Aprile, Lílian Rose Otoboni ; Parra, Rogério Serafim ; Feitosa, Marley Ribeiro ; Castro, Patrícia Picardi Morais de ; Perdoná, Gleici de Castro da Silva ; Feres, Omar ; Rocha, José Joaquim Ribeiro da ; Troncon, Luiz Ernesto de Almeida
  • Assuntos: Adult ; Clinical Investigation ; Crohn Disease ; Crohn Disease - complications ; Crohn Disease - surgery ; Female ; General Surgery ; Humans ; Ileum ; Male ; Middle Aged ; Retrospective Studies ; Smoking
  • É parte de: Acta Cirúrgica Brasileira, 2024-01, Vol.39, p.e391924
  • Notas: Section editor: Gaspar Lopes Filho https://orcid.org/0000-0002-9344-6479
    Conflict of interest: Nothing to declare.
  • Descrição: To evaluate patient characteristics and factors associated with surgical resection in patients with Crohn's disease (CD). An analysis was performed on data from 295 patients with CD in follow-up from 2001 to 2018. Medical record data comprised age, gender, location, behavior and duration of the CD, smoking, and extraintestinal manifestation. Patients were divided into two groups according to the presence or absence of surgical resection. Out of the 295 patients with CD, 155 underwent surgical resection (53.2% male, mean age: 43.88 ± 14.35 years). The main indications for surgery were stenosis (44.5%), clinical intractability (15.5%), and intra-abdominal fistulas (15.5%). Smoking (p < 0.001), longer CD duration (p < 0.0001), ileo-colonic location (p = 0.003), stenosing behavior (p < 0.0001), and fistulizing behavior (p < 0.0001) were significantly associated with surgical resection. Initial use of biological was significantly more frequent in the group of patients without surgical resection (p < 0.001). Patients with CD still frequently need surgical treatment. Smoking (current or past), longer disease time, stenosing and fistulizing behavior, and ileo-colonic localization in CD patients were associated with a higher risk of surgery. Awareness about factors associated with unfavorable outcome allows such patients to be treated more appropriately.
  • Editor: Brazil: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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