Intra-abdominal Fistulas in Surgically Treated Crohn’s Disease Patients
| العنوان: | Intra-abdominal Fistulas in Surgically Treated Crohn’s Disease Patients |
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| المؤلفون: | Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim, Sang Nam Yoon, Suk-Kyun Yang, Yong Sik Yoon |
| المصدر: | World Journal of Surgery. 34:1924-1929 |
| بيانات النشر: | Springer Science and Business Media LLC, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Adult, Male, Enterocutaneous fistula, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Fistula, Anastomosis, Postoperative Complications, Crohn Disease, Laparotomy, medicine, Humans, Prospective Studies, Aged, Crohn's disease, Chi-Square Distribution, business.industry, Anastomosis, Surgical, Digestive System Fistula, Middle Aged, medicine.disease, Surgery, Treatment Outcome, medicine.anatomical_structure, Cardiothoracic surgery, Abdomen, Female, business, Abdominal surgery |
| الوصف: | Intra-abdominal fistulas occur in one-third of patients with Crohn’s disease (CD). Although they are common, these fistulas may pose difficult problems for the surgeon. We assessed the clinical presentation of intra-abdominal fistulas in patients with CD and compared the clinicopathologic characteristics of CD with and without fistulas. We analyzed consecutive laparotomy cases for 254 patients with CD between 1991 and 2008. Clinicopathologic data were abstracted from patient charts and a prospectively maintained database. Patient variables with and without fistulas were analyzed using the Fisher’s exact test, chi-square test, and Student’s t test. A total of 93 surgical procedures were performed on 83 patients (32.7%) who had at least one intra-abdominal fistula, revealing a total of 122 fistulas. Enteroenteric fistulas were the most common (30.3%), followed by enterocutaneous (23%), enterosigmoid (19.7%), enterocolonic (9.7%), and enterovesical (9.7%). Most cases (95.7%) underwent intestinal resection, with primary anastomosis in 77 of the cases (82.8%). There was no mortality, although 15 (16.1%) patients experienced postoperative complications. In the comparison of 270 cases with and without fistulas, cases with fistulas tended to have more frequent surgeries for perianal fistulas or abscesses (P = 0.001), more frequent intra-abdominal abscesses on CT (P = 0.044), and a higher incidence of combined small bowel and colonic disease (P |
| تدمد: | 1432-2323 0364-2313 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::10fecf764b9556a0b4bc162265ac0b18Test https://doi.org/10.1007/s00268-010-0568-3Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....10fecf764b9556a0b4bc162265ac0b18 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322323 03642313 |
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