Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Morbidity After Undergoing Colon Resection for CD

J Gastrointest Surg; ePub 2018 Apr 16; Aydinli, et al

About one-third of patients who undergo colon resection for Crohn’s disease (CD) experience postoperative complications, a recent study found. The study identified factors associated with short-term morbidity in these patients from a national database. Groups were classified based on presence of postoperative 30-day complications. Overall morbidity was calculated by including patients who had at least 1 postoperative complication. Researchers found:

  • 1,643 patients (mean age 41.2 years, 53% female) met inclusion criteria.
  • 993 (60%) of the procedures were performed laparoscopically and 128 (12.8%) were converted to open.
  • 95 (5%) patients underwent emergent resections.
  • 507 patients (30%) had at least 1 postoperative complication within 30 days of surgery.
  • Ileus (16%), transfusion (7%), and organ-space surgical site infection (6%) were the most common morbidities.
  • Independent risk factors for postoperative morbidity were male gender, open surgery, preoperative severe anemia, and preoperative weight loss.

Citation:

Aydinli HH, Aytac E, Remzi FH, Bernstein M, Grucela AL. Factors associated with short-term morbidity in patients undergoing colon resection for Crohn’s disease. [Published online ahead of print April 16, 2018]. J Gastrointest Surg. doi:10.1007/s11605-018-3763-4.

This Week's Must Reads

Ustekinumab & Health-Related Quality of Life in CD, J Crohns Colitis; ePub 2018 May 3; Sands, et al

Increased Risk of Acute MI and HF with IBD, Clin Gastroenterol Hepatol; ePub 2018 Apr 24; Aniwan, et al

Opioid Use Disorder & IBD Hospitalizations, J Crohns Colitis; ePub 2018 May 7; Cohen-Mekelburg, et al

Clinical Course of IBD with Celiac Disease, J Crohns Colitis; ePub 2018 May 7; Tse, et al

Incidence of Intestinal Infections in IBD, Inflamm Bowel Dis; ePub 2018 May 2; Barber, et al

Must Reads in Crohn’s Disease

Ustekinumab & Health-Related Quality of Life in CD, J Crohns Colitis; ePub 2018 May 3; Sands, et al

Increased Risk of Acute MI and HF with IBD, Clin Gastroenterol Hepatol; ePub 2018 Apr 24; Aniwan, et al

Opioid Use Disorder & IBD Hospitalizations, J Crohns Colitis; ePub 2018 May 7; Cohen-Mekelburg, et al

Clinical Course of IBD with Celiac Disease, J Crohns Colitis; ePub 2018 May 7; Tse, et al

Incidence of Intestinal Infections in IBD, Inflamm Bowel Dis; ePub 2018 May 2; Barber, et al