The incidence of fecal fistula following exploratory laparotomy and appendicectomy in patients with ileocolic Crohn's disease.
The aim of this study was to investigate if appendicectomy en passant in connection with exploratory laparotomy for ileocolic Crohn's disease increases the risk for development of postoperative fecal fistula. This was studied among 105 patients, 65 of whom had an additional appendicectomy and 40 who had not. The postoperative frequency of fecal fistula was 18.5 versus 15% in the two groups. The difference is not significant. On balance, appendicectomy is advised under these circumstances.
D000328:Adult; D001062:Appendectomy; D003424:Crohn Disease / Q000601:surgery*; D005243:Feces; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D007813:Laparotomy; D008297:Male; D011183:Postoperative Complications