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OUTCOME OF SURGERY FOR CROHN´S COLITIS. REVIEW OF 28 CASES

Colitis de Crohn: Resultados del tratamiento quirúrgico y evolución alejada.

dc.contributoren-US
dc.contributorPontificia Universidad Católica de Chilees-ES
dc.creatorImigo G, Felipe; Pontificia Universidad Católica de Chile
dc.creatorMolina P, María Elena; Pontificia Universidad Católica de Chile
dc.creatorÁlvarez-Lobos, Manuel; Pontificia Universidad Católica de Chile
dc.creatorQuintana V, Carlos; Pontificia Universidad Católica de Chile
dc.creatorKlaassen L, Julieta; Pontificia Universidad Católica de Chile
dc.creatorTorres M, Javiera; Pontificia Universidad Católica de Chile
dc.creatorDuarte G, Ignacio; Pontificia Universidad Católica de Chile
dc.creatorBellolio R, Felipe; Pontificia Universidad Católica de Chile
dc.creatorZúñiga D, Álvaro; Pontificia Universidad Católica de Chile
dc.date2018-03-06
dc.date.accessioned2019-11-11T18:28:17Z
dc.date.available2019-11-11T18:28:17Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5976
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111514
dc.descriptionBackground: Exclusive involvement of the colon or rectum in Crohn's disease, called Crohn´s colitis, (CC) occurs in about 25% of these patients. Aim: To analyze early surgical results and long-term outcomes of patients undergoing surgery for CC. Material and methods: Review of a prospective database, identifying patients with Crohn’s disease operated between 2003 and 2015 and excluding those with ileocecal disease. We analyzed demographic data, pre and postoperative pharmacological treatment, operations, morbidity and the need for a second bowel resection at follow-up. Results: We reviewed data from 28 patients aged 17 to 72 years (15 men). Twenty-seven (96.4%) had previous pharmacological treatment, 11 received monoclonal antibodies. The most common indications for surgical treatment were failure of medical treatment in 15 cases, acute severe colitis in 12 and anemia/malnutrition in eight. Total colectomy was performed in 17 (61%) patients, proctocolectomy in 8 (29%) and segmental colectomies in 3 (11%). Sixteen (57%) were operated laparoscopically. Major postoperative complications were observed in 5 (18%). Four needed a reintervention. There was no operative mortality. During a 55 months median follow-up of 27 patients, seven (26%) required a second bowel resection, one of them for recurrence. Nineteen (70%) patients had an ostomy, which was permanent in 11. Fifteen patients are without medical treatment. Conclusions: Most of the reviewed patients required total colectomy for the control of the disease with a low surgical morbidity. Two-thirds required an ileostomy, which became permanent in half of them.en-US
dc.descriptionBackground: Exclusive involvement of the colon or rectum in Crohn's disease, called Crohn´s colitis, (CC) occurs in about 25% of these patients. Aim: To analyze early surgical results and long-term outcomes of patients undergoing surgery for CC. Material and methods: Review of a prospective database, identifying patients with Crohn’s disease operated between 2003 and 2015 and excluding those with ileocecal disease. We analyzed demographic data, pre and postoperative pharmacological treatment, operations, morbidity and the need for a second bowel resection at follow-up. Results: We reviewed data from 28 patients aged 17 to 72 years (15 men). Twenty-seven (96.4%) had previous pharmacological treatment, 11 received monoclonal antibodies. The most common indications for surgical treatment were failure of medical treatment in 15 cases, acute severe colitis in 12 and anemia/malnutrition in eight. Total colectomy was performed in 17 (61%) patients, proctocolectomy in 8 (29%) and segmental colectomies in 3 (11%). Sixteen (57%) were operated laparoscopically. Major postoperative complications were observed in 5 (18%). Four needed a reintervention. There was no operative mortality. During a 55 months median follow-up of 27 patients, seven (26%) required a second bowel resection, one of them for recurrence. Nineteen (70%) patients had an ostomy, which was permanent in 11. Fifteen patients are without medical treatment. Conclusions: Most of the reviewed patients required total colectomy for the control of the disease with a low surgical morbidity. Two-thirds required an ileostomy, which became permanent in half of them.es-ES
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dc.languagespa
dc.publisherRevista Médica de Chilees-ES
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dc.sourceRevista Médica de Chile; Vol. 146, núm. 2 (2018): FEBRERO 2018es-ES
dc.source0034-9887
dc.subjectColitis; Colorectal Surgery; Crohn Diseaseen-US
dc.subjectColitis; Colorectal Surgery; Crohn Diseasees-ES
dc.titleOUTCOME OF SURGERY FOR CROHN´S COLITIS. REVIEW OF 28 CASESen-US
dc.titleColitis de Crohn: Resultados del tratamiento quirúrgico y evolución alejada.es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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