Risk factors for recurrence of stenosis in Crohn's disease.
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.
Scarpa
Marco
M
Clinica Chirurgica I, Dipartimento di Scienze Chirurgiche e Gastroenterologiche, University of Padova, Italy. marcoscarpa73@yahoo.it
Angriman
Imerio
I
Barollo
Michela
M
Polese
Lino
L
Ruffolo
Cesare
C
Bertin
Matteo
M
Pagano
Duilio
D
D'Amico
Davide F
DF
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