title: Risk factors for recurrence of stenosis in Crohn's disease.
abstract: A major problem in Crohn's disease (CD) surgery is the high frequency of recurrence after bowel resection. Several factors are thought to influence this phenomenon. CD "phenotype" was identified as one of this factors and obstructing CD seems to be a low risk. We analysed the reoperation rate in patients operated for obstructing CD to identify risk factors for postoperative recurrence avoiding any bias due to an high risk phenotype. We reviewed the records of 120 patients treated for stenosing CD and survival analysis was performed using Kaplan-Meier method. Younger age, acute obstruction, emergency conditions, postoperative complications, small bowel disease, ileo-ileal anastomosis and type of suture resulted to be risk factors for CD recurrence.
authors.affiliation: Clinica Chirurgica I, Dipartimento di Scienze Chirurgiche e Gastroenterologiche, University of Padova, Italy. marcoscarpa73@yahoo.it
authors.forename: Marco
authors.initials: M
authors.lastname: Scarpa
authors.forename: Imerio
authors.initials: I
authors.lastname: Angriman
authors.forename: Michela
authors.initials: M
authors.lastname: Barollo
authors.forename: Lino
authors.initials: L
authors.lastname: Polese
authors.forename: Cesare
authors.initials: C
authors.lastname: Ruffolo
authors.forename: Matteo
authors.initials: M
authors.lastname: Bertin
authors.forename: Duilio
authors.initials: D
authors.lastname: Pagano
authors.forename: Davide F
authors.initials: DF
authors.lastname: D'Amico
mesh_terms: D000328:Adult; D003082:Colectomy / Q000379:methods; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D018570:Risk Assessment; D012307:Risk Factors