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Patients with Crohn's disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications' rate

Title:	Patients with Crohn's disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications' rate
Authors:	Dich Grandt S; El-Hussuna A; Frasson M; Singh B; Gallo G; Pata F; Negoi I; Pinkney T; Zmora O; Bhangu A; Battersby N; Chaudhri S; Nepogodiev D; Vennix S; Glasbey J; Minaya A; Basso L; Pukuotukai M; Kelly ME; Sánchez Guillén L; Pellino G; Buchs N; Morton D; Bemelman W; Christensen P; D'Hoore A; Laurberg S; Rubbini M; Vaizey C; Magill L; Perry R; Sheward N; Mortensen RN; Cillo M; Estefania D; Patron Uriburu J; Ruiz H; Salomon M; Makhmudov A; Selnyahina L; Varabei A; Vizhynis Y; Claeys D; Defoort B; Muysoms F; Pletinckx P; Vergucht V; Debergh I; Feryn T; Reusens H; Francart D; Jehaes C; Markiewicz S; Monami B; Weerts J; Bouckaert W; Houben B; Knol J; Sergeant G; Vangertruyden G; Haeck L; Lange C; Sommeling C; Vindevoghel K; Castro S; De Bruyn H; Huyghe M; De Wolf E; Reynders D; de Buck van Overstraeten A; Wolthuis A; Delibegovic S; Christiani A; Marchiori M Jr; Rocha de Moraes C; Tercioti V Jr; Arabadjieva E; Bulanov D; Dardanov D; Stoyanov V; Yonkov A; Angelov K; Maslyankov S; Sokolov M; Todorov G; Toshev S; Georgiev Y; Karashmalakov A; Zafirov G; Wang X; Condic D; Kraljik D; Mrkovic H; Pavkovic V; Raguž K; Bencurik V; Holášková E; Skrovina M; Farkašová M; Grolich T; Kala Z; Antos F; Pruchova V; Sotona O; Chobola M; Dusek T; Ferko A; Örhalmi J; Hoch J; Kocian P; Martinek L; Bernstein I; Gotschalck Sunesen K; Leunbach J; Thorlacius-Ussing O; Uth Oveson A; Dahl Chirstensen S; Gamez V; Oeting M; Schou Loeve U; Ugianskis A; Jessen M; Krarup PM; Linde K; Mirza Q; Overgaard Stovring J; Erritzøe L; Loft Jakobsen H; Lykke J; Palmgren Colov E; Husted Madsen A; Linde Friis T; Amstrup Funder J; Dich R; Kjær S; Rasmussen S; Schlesinger N; Dilling Kjaer M; Qvist N; Khalid A; Ali G; Hadi S; Rosell Walker L; Kivelä A; Lehtonen T; Lepistö A; Scheinin T; Siironen P; Kössi J; Kuusanmäki P; Tomminen T; Turunen A; Rautio T; Vierimaa M; Huhtinen H; Karvonen J; Lavonius M; Rantala A; Varpe P; Cotte E; Francois Y; Glehen O; Kepenekian V; Passot G; Maggiori L; Manceau G; Panis Y; Gout M; Rullier E; van Geluwe B; Chafai N; Lefevre JH; Parc Y; Tiret E; Couette C; Duchalais E; Agha A; Hornberger M; Hungbauer A; Iesalnieks I; Weindl I; Crescenti F; Keller M; Kolodziejski N; Scherer R; Sterzing D; Bock B; Boehm G; El-Magd M; Krones C; Niewiera M; Buhr J; Cordesmeyer S; Hoffmann M; Krückemeier K; Vogel T; Schön M; Baral J; Lukoschek T; Münch S; Pullig F; Horisberger K; Kienle P; Magdeburg J; Post S; Batzalexis K; Germanos S; Agalianos C; Dervenis C; Gouvas N; Kanavidis P; Kottikias A; Katsoulis IE; Korkolis D; Plataniotis G; Sakorafas G; Akrida I; Argentou M; Kollatos C; Lampropoulos C; Tsochatzis S; Besznyák I; Bursics A; Egyed T; Papp G; Svastics I; Atladottir J; Möller P; Sigurdsson H; Stefánsson T; Valsdottir E; Andrews E; Foley N; Hechtl D; Majeed M; McCourt M; Hanly A; Hyland J; Martin S; O'Connell PR; Winter D; Connelly T; Joyce W; Wrafter P; Berkovitz R; Avital S; Haj Yahia I; Hermann N; Shpitz B; White I; Lishtzinsky Y; Tsherniak A; Wasserberg N; Horesh N; Keler U; Pery R; Shapiro R; Tulchinsky H; Badran B; Dayan K; Iskhakov A; Lecaros J; Nabih N; Angrima I; Bardini R; Pizzolato E; Tonello M; Arces F; Balestri R; Ceccarelli C; Prosperi V; Rossi E; Giannini I; Vincenti L; Di Candido F; Di Iena M; Guglielmi A; Caputi-Iambrenghi O; Marsanic P; Mellano A; Muratore A; Annecchiarico M; Bencini L; Amore Bonapasta S; Coratti A; Guerra F; Asteria CR; Boccia L; Gerard L; Pascariello A; Manca G; Marino F; Casaril A; Inama M; Moretto G; Bacchelli C; Carvello M; Mariani N; Montorsi M; Spinelli A; Romairone E; Scabini S; Belli A; Bianco F; De Franciscis S; Maria Romano G; Delrio P; Pace U; Rega D; Sassaroli C; Scala D; De Luca R; Ruggieri E; Elbetti C; Garzi A; Romoli L; Scatizzi M; Vannucchi A; Curletti G; Durante V; Galleano R; Mariani F; Reggiani L; Bellomo R; Infantino A; Franceschilli L; Sileri P; Clementi I; Coletta D; La Torre F; Mingoli A; Velluti F; Di Giacomo A; Fiorot A; Massani M; Padoan L; Ruffolo C; Caruso S; Franceschini F; Laessig R; Monaci I; Rontini M; De Nardi P; Elmore U; Lemma M; Rosati R; Tamburini A; De Luca M; Sartori A; Benevento A; Bottini C; Ferrari CC; Tessera G; Selvaggi F; Lanzani A; Romano F; Sgroi G; Steccanella F; Turati L; Yamamoto T; Ancans G; Gerkis S; Leja M; Pcolkins A; Sivins A; Latkauskas T; Lizdenis P; Saladžinskas Ž; Švagždys S; Tamelis A; Razbadauskas A; Sokolovas M; Dulskas A; Samalavicius N; Jotautas V; Mikalauskas S; Poskus E; Poskus T; Strupas K; Camenzuli C; Cini C; Predrag A; Psaila J; Spiteri N; Buskens C; de Groof EJ; Gooszen J; Tanis P; Belgers E; Davids P; Furnee E; Postma E; Pronk A; Smakman N; Clermonts S; Zimmerman D; Omloo J; van der Zaag E; van Duijvendijk P; Wassenaar E; Bruijninckx M; de Graff E; Doornebosch P; Tetteroo G; Vermaas M; Iordens G; Knops S; Toorenvliet B; van Westereenen HL; Boerma E; Coene P; van der Harst E; Van Der Pool A; Raber M; Melenhorst J; de Castro S; Gerhards M; Arron M; Bremers A; de Wilt H; Ferenschild F; Yauw S; Cense H; Demirkiran A; Hunfeld M; Mulder I; Nonner J; Swank H; van Wagensveld B; Bolmers M; Briel J; van Geloven A; Echazarreta-Gallego E; Elia-Guedea M; Ramirez J; van Rossem C; Klemann V; Konsten J; Leenders B; Schok T; Bleeker W; Gidwani A; Lawther R; Loughlin P; Skelly B; Spence R; Brun M; Helgeland M; Ignjatovic D; Øresland T; Yousefi P; Flåten Backe I; Helmer Sjo O; Nesbakken A; Tandberg Eriksen M; Cais A; Hallvard Træland J; Herikstad R; Kørner H; Lauvland N; Jajtner D; Kabiesz W; Rak M; Gmerek L; Horbacka K; Horst N; Krokowicz P; Kwiatkowski A; Pasnik K; Karcz P; Romaniszyn M; Rusek T; Walega P; Czarencki R; Obuszko Z; Sitarska M; Wojciech W; Zawadzki M; Amado S; Clara P; Couceiro A; Malaquias R; Rama N; Almeida A; Barbosa E; Cernadas E; Duarte A; Silva P; Costa S; Martinez Insua C; Pereira J; Pereira C; Sacchetti M; Carvalho Pinto B; Jorge Vieira Sousa P; Marques R; Oliveira A; Cardoso R; Carlos S; Corte-Real J; Moniz Pereira P; Souto R; Carneiro C; Marinho R; Nunes V; Rocha R; Sousa M; Leite J; Melo F; Pimentel J; Ventura L; Vila Nova C; Copăescu C; Bintintan V; Ciuce C; Dindelegan G; Scurtu R; Seicean R; Domansky N; Karachun A; Moiseenko A; Pelipas Y; Petrov A; Pravosudov I; Aiupov R; Akmalov Y; Parfenov A; Suleymanov N; Tarasov N; Jumabaev H; Mamedli Z; Rasulov A; Aliev I; Chernikovskiy I; Kochnev V; Komyak K; Smirnov A; Achkasov S; Bolikhov K; Shelygin Y; Sushkov O; Zapolskiy A; Gvozdenovic M; Jovanovic D; Lausevic Z; Cvetković D; Maravić M; Milovanovic B; Stojakovic N; Tripković I; Mihajlovic D; Nestorovic M; Pecic V; Petrovic D; Stanojevic G; Barisic G; Dimitrijevic I; Krivokapic Z; Markovic V; Popovic M; Aleksic A; Dabic D; Kostic I; Milojkovic A; Perunicic V; Lukic D; Petrovic T; Radovanovic D; Radovanovic Z; Cuk VM; Cuk VV; Kenic M; Kovacevic B; Krdzic I; Korcek J; Rems M; Toplak J; Escarrâ J; Gil Barrionuevo M; Golda T; Kreisler Moreno E; Zerpa Martin C; Álvarez Laso C; Cumplido P; Padin H; Baixauli Fons J; Hernández Lizoain J; Martinez Ortega P; Molina Fernández M; Sánchez Justicia C; Antonio Gracia Solanas J; Córdoba Díaz de Laspra E; Arredondo Chaves J; Diez González P; Elosua T; Sahagún J; Turienzo Frade A; Álvarez Conde J; Castrillo E; Diaz Maag R; Maderuelo V; Saldarriaga L; Aldrey Cao I; Fernández Varela X; Núñez Fernández S; Parajó Calvo A; Villar Álvarez S; Blesa Sierra I; Lozano R; Márquez M; Porcel O; Menendez P; Fernández Hevia M; Flores Sigüenza L; Jimenez Toscano M; Lacy Fortuny A; Ordoñez J; Espi A; Garcia Botello S; Martín Arévalo J; Moro Valdezate D; Pla M; Blanco Antona F; Abrisqueta J; Ibañez Canovas N; Lujan Mompean J; Escolá Ripoll D; Martinez Gonzalez S; Parodi J; Fernández López A; Ramos Fernández M; Castellvi Valls J; Ortiz de Zarate L; Ribas R; Sabia D; Viso L; Alonso Gonçalves S; José Gil M; Pascual Damieta M; Pera M; Salvans Ruiz S; Bernal J; Landete F; Ais G; Etreros J; Aguiló Lucia J; Boscá A; Deusa S; García Del Caño J; Viciano V; García Armengol J; Roig J; Blas J; Escartin J; Fatás J; Fernando J; Ferrer R; Arias Pacheco R; García Flórez L; Moreno Gijón M; Otero Díez J; Solar Garcia L; Aguilar Teixido F; Balaguer Ojo C; Bargallo Berzosa J; Lamas Moure S; Enrique Sierra J; Fermiñán A; Herrerias F; Rufas M; Viñas J; Codina Cazador A; Farrés R; Gómez N; Julià D; Planellas P; López J; Luna A; Maristany C; Muñoz Duyos A; Puértolas N; Alcantara Moral M; Serra Aracil X; Concheiro Coello P; Gómez D; Carton C; Miguel A; Reoyo Pascual F; Valero Cerrato X; Zambrano Muñoz R; Cervera Aldama J; García González J; Ramos Prada J; Santamaría Olabarrieta M; Urigüen Echeverría A; Coves Alcover R; Espinosa Soria J; Fernandez Rodriguez E; Hernandis Villalba J; Maturana Ibañez V; De la Torre Gonzalez F; Huerga D; Pérez Viejo E; Rivera A; Ruiz Ucar E; Garcia Septiem J; Jiménez V; Jiménez Miramón J; Ramons Rodriquez J; Rodriguez Alvarez V; Garcea A; Ponchietti L; Borda N; Enriquez Navascues J; Saralegui Y; Febles Molina G; Nogues E; Rodríguez M; Roque Castellano C; Sosa Quesada Y; Alvarez Gallego M; Pascual I; Rubio Perez I; Diaz San Andrés B; Tone Villanueva F; Alonso J; Cagigas C; Castillo J; Gómez M; Martín Parra J; Mengual Ballester M; Pellicer Franco E; Soria Aledo V; Valero Navarro G; Caballero Rodríguez E; Gonzalez De Chaves P; Hernandez G; Perez Alvarez A; Soto Sanchez A; Cesar Becerra Garcia F; Guillermo Alonso Roque J; López R; Arias F; Del Valle Ruiz SR; Sánchez De La Villa G; Compañ A; García Marín A; Nofuentes C; Orts M; Pérez Auladell V; Carrasco M; Duque Perez C; Gálvez Pastor S; Navarro Garcia I; Sanchez Perez A; Enjuto D; Manuel Bujalance F; Marcelin N; Pérez M; Serrano García R; Cabrera A; de la Portilla F; Diaz Pavon J; Jimenez Rodriguez R; Vazquez Monchul J; Martínez Alegre J; Ortega I; Picardo Nieto Antonio A; Caro A; Escuder J; Feliu F; Millan M; Alos Company R; Frangi Caregnato A; Lozoya Trujillo R; Rodríguez Carrillo R; Ruiz Carmona M; Alonso N; Ambrona Zafra D; Amilka Ayala B; Bonnin Pascual CJ; Pineño Flores C; Alcazar Montero J; Angoso Clavijo M; Garcia J; Sanchez Tocino J; Gómez Alcazar C; Costa Navarro D; Ferri Romero J; Rey Riveiro M; Romero Simó M; Arencibia B; Esclapez P; García Granero E; Granero P; Medina Fernández FJ; Gallardo Herrera AB; Diaz López C; Navarro Rodriguez E; Torres Tordera E; Arenal J; Citores M; Marcos J; Sánchez J; Tinoco C; Espin E; Garcia Granero A; Jimenez Gomez L; Sanchez Garcia J; Vallribera F; Folkesson J; Sköldberg F; Bergman K; Borgström E; Frey J; Silfverberg A; Söderholm M; Nygren J; Segelman J; Gustafsson D; Lagerqvist A; Papp A; Pelczar M; Abraham Nordling M; Ahlberg M; Sjovall A; Tengstrom J; Hagman K; Chabok A; Ezra E; Nikberg M; Smedh K; Tiselius C; Al Naimi N; Dao Duc M; Meyer J; Mormont M; Ris F; Prevost G; Villiger P; Hoffmann H; Kettelhack C; Kirchhoff P; Oertli D; Weixler B; Aytac B; Leventoglu S; Mentes B; Yuksel O; Demirbas S; Busra Ozkan B; Selçuk Özbalci G; Sungurtekin U; Gülcü B; Ozturk E; Yilmazlar T; Challand C; Fearnhead N; Hubbard R; Kumar S; Arthur J; Barben C; 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Contributors:	Dich Grandt, S; El-Hussuna, A; Frasson, M; Singh, B; Gallo, G; Pata, F; Negoi, I; Pinkney, T; Zmora, O; Bhangu, A; Battersby, N; Chaudhri, S; Nepogodiev, D; Vennix, S; Glasbey, J; Minaya, A; Basso, L; Pukuotukai, M; Kelly, Me; Sánchez Guillén, L; Pellino, G; Buchs, N; Morton, D; Bemelman, W; Christensen, P; D'Hoore, A; Laurberg, S; Rubbini, M; Vaizey, C; Magill, L; Perry, R; Sheward, N; Mortensen, Rn; Cillo, M; Estefania, D; Patron Uriburu, J; Ruiz, H; Salomon, M; Makhmudov, A; Selnyahina, L; Varabei, A; Vizhynis, Y; Claeys, D; Defoort, B; Muysoms, F; Pletinckx, P; Vergucht, V; Debergh, I; Feryn, T; Reusens, H; Francart, D; Jehaes, C; Markiewicz, S; Monami, B; Weerts, J; Bouckaert, W; Houben, B; Knol, J; Sergeant, G; Vangertruyden, G; Haeck, L; Lange, C; Sommeling, C; Vindevoghel, K; Castro, S; De Bruyn, H; Huyghe, M; De Wolf, E; Reynders, D; de Buck van Overstraeten, A; Wolthuis, A; Delibegovic, S; Christiani, A; Marchiori, M Jr; Rocha de Moraes, C; Tercioti, V Jr; Arabadjieva, E; Bulanov, D; Dardanov, D; Stoyanov, V; Yonkov, A; Angelov, K; Maslyankov, S; Sokolov, M; Todorov, G; Toshev, S; Georgiev, Y; Karashmalakov, A; Zafirov, G; Wang, X; Condic, D; Kraljik, D; Mrkovic, H; Pavkovic, V; Raguž, K; Bencurik, V; Holášková, E; Skrovina, M
Publication Year:	2019
Collection:	Università degli Studi di Ferrara: CINECA IRIS
Subject Terms:	Crohn’s disease; Colon cancer; Complications; Length of stay; Bowel resection; Right hemicolectomy
Description:	BACKGROUND Right hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC).AIMTo investigate differences in pre- and peri-operative factors and their impact on post-operative outcome in patients with CC and CD. METHODS This is a sub-group analysis of the European Society of Coloproctology's prospective, multi-centre snapshot audit. Adult patients with CC and CD undergoing right hemicolectomy or ileocecal resection were included. Primary outcome measure was 30-d post-operative complications. Secondary outcome measures were post-operative length of stay (LOS) at and readmission. RESULTS Three hundred and seventy-five patients with CD and 2,515 patients with CC were included. Patients with CD were younger (median = 37 years for CD and 71 years for CC (P < 0.01), had lower American Society of Anesthesiology score (ASA) grade (P < 0.01) and less comorbidity (P < 0.01), but were more likely to be current smokers (P < 0.01). Patients with CD were more frequently operated on by colorectal surgeons (P < 0.01) and frequently underwent ileocecal resection (P < 0.01) with higher rate of de-functioning/primary stoma construction (P < 0.01). Thirty-day post-operative mortality occurred exclusively in the CC group (66/2515, 2.3%). In multivariate analyses, the risk of post-operative complications was similar in the two groups (OR 0.80, 95%CI: 0.54-1.17; P = 0.25). Patients with CD had a significantly longer LOS (Geometric mean 0.87, 95%CI: 0.79-0.95; P < 0.01). There was no difference in re-admission rates. The audit did not collect data on post-operative enhanced recovery protocols that are implemented in the different participating centers. CONCLUSION Patients with CD were younger, with lower ASA grade, less comorbidity, operated on by experienced surgeons and underwent less radical resection but had a longer LOS than patients with CC although complication's rate was not different between the two groups.
Document Type:	article in journal/newspaper
File Description:	STAMPA
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/31171957; info:eu-repo/semantics/altIdentifier/wos/WOS:000469211600002; volume:11; issue:5; firstpage:261; lastpage:270; numberofpages:10; journal:WORLD JOURNAL OF GASTROINTESTINAL SURGERY; https://hdl.handle.net/11392/2410042
DOI:	10.4240/wjgs.v11.i5.261
Availability:	https://hdl.handle.net/11392/2410042; https://doi.org/10.4240/wjgs.v11.i5.261; https://www.wjgnet.com/1948-9366/full/v11/i5/261.htm
Rights:	info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc/4.0/
Accession Number:	edsbas.919EDAA1
Database:	BASE