2026-08-28T07:24:37Zhttps://gredos.usal.es/oai/request

oai:gredos.usal.es:10366/1609652025-04-30T19:28:24Zcom_10366_3974com_10366_3947com_10366_3946com_10366_3823col_10366_3975

European Society of Coloproctology Collaborating Group (ESCP) El-Hussuna, Alaa Alcázar Montero, José Antonio 2024-12-05T12:25:53Z 2024-12-05T12:25:53Z 2019 2015 European Society of Coloproctology (ESCP) collaborating group. (2019). Patients with Crohn’s disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications’ rate. World Journal of Gastrointestinal Surgery, 11(5), 261-270. https://doi.org/10.4240/wjgs.v11.i5.261 1948-9366 http://hdl.handle.net/10366/160965 10.4240/wjgs.v11.i5.261 [EN]BACKGROUND Right hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC). AIM To 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. eng Baishideng Publishing Group Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess Crohn’s disease Colon cancer Complications Length of stay Bowel resection Right hemicolectomy Medical Oncology Postoperative Complications Colonic Neoplasms 3213.01 Cirugía Abdominal 3207.13 Oncología oncología médica neoplasias del colon complicaciones postoperatorias Patients with Crohn’s disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications’ rate info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://www.wjgnet.com/1948-9366/full/v11/i5/261.htm https://dx.doi.org/10.4240/wjgs.v11.i5.261 World Journal of Gastrointestinal Surgery 11 5 261 270