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Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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Risk Factors of Reoperation in Patients with Intestinal Behçet's Disease Treated by Initial Bowel Resection
Sun Jung Kim1,2, Eun Ji Park3, Hyeon Woo Bae4
1Department of Surgery, Ajou University School of Medicine, Suwon 16499, Republic of Korea.
Journal of Clinical Medicine
|November 27, 2024
Summary
Patients with intestinal Behçet's disease (iBD) undergoing bowel resection face reoperation risks. Hematological disorders, high CRP, and short resection length predict reoperation and poorer outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Immunology
Background:
- Intestinal Behçet's disease (iBD) frequently necessitates surgical intervention.
- A significant percentage of iBD patients require reoperation following initial bowel resection.
Purpose of the Study:
- To identify risk factors for reoperation in iBD patients after initial bowel resection.
- To evaluate perioperative and long-term outcomes for iBD patients who undergo reoperation.
Main Methods:
- Retrospective case-control study.
- Analysis of 81 iBD patients undergoing initial bowel resection between 2005-2021.
- Risk factors for reoperation were assessed using multivariable analysis.
Main Results:
- 32% of patients required reoperation during a median follow-up of 107.1 months.
- Hematological disorders, elevated preoperative C-reactive protein (CRP) levels, and shorter specimen resection length were significant risk factors for reoperation.
- Reoperation was associated with higher complication rates, longer antibiotic use, extended hospital stays, and worse 5-year survival.
Conclusions:
- Concurrent hematological disorders, high preoperative CRP, and short specimen resection length increase reoperation risk in iBD.
- Patients requiring reoperation experience poorer perioperative and long-term outcomes.
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