Crohn's disease: risk factors for surgical recurrence

Revista Brasileira de Coloproctologia

Formiga, Galdino José Sitonio¹  Monteiro, Elisângela Plazas¹  Albuquerque, Idblan Carvalho de¹  Lopes, Juliana Magalhães¹  Pincinato, André Luigi¹  Carvalho, Rodrigo Britto de¹ 

[1] Serviço de Coloproctologia do Hospital Heliópolis

关键词: Crohn's disease;    surgery;    predictive factors;    recurrence;   

DOI  :  10.1590/S0101-98802008000100005

学科分类：心脏病和心血管学

来源: Sociedade Brasileira de Coloproctologia

【 摘 要 】

Despite the advances in the understanding of Crohn's disease, the determinants of surgical recurrence remain speculative. The aim of this study was to examine retrospectively the factors affecting post-operative recurrence of Crohn's disease. Methods: The following factors were investigated in 45 patients submitted to surgery for Crohn's disease: age, sex, race, smoking, anatomical site of involvement, type (inflammatory, fibrostenotic, or fistulizing), indication for surgery and anastomotic technique. Results: Recurrence occurred in 67,7% patients. Patients fistulizing Crohn's disease had undergone three or more surgical procedures, 64,6% (p=0, 002). Perforating indication for initial surgeryPatients with perforation presented the greatest number of reoperations, three or more surgical procedures in 63,6% (p=0,003). Conclusions: Perforationg and fistulizing type in Crohn's disease estabilished the major cause of recurrence in the patients studied.

【 授权许可】

CC BY-NC