risk factors for postoperative recurrence of crohn’s disease

نویسندگان

shayan khoshkish

khalilullah arefi

meghedi charmehali

homayoon vahedi

چکیده

background postoperative relapse is a common feature of crohn's disease (cd) in western countries but its frequency and risk factors have not been studied in the middle east where there is a rapid upsurge in the incidence of cd. this study aims to research the frequency and risk factors of its recurrence after surgery among 566 iranian patients with cd in tehran, iran. methods all 566 patients diagnosed with crohn's disease that enrolled in digestive diseases research center (ddrc) inflammatory bowel disease (ibd) from april 1991 until november 2011 were included in our study. we reviewed clinical data that included time of surgery, possible risk factors and follow up after surgery. multivariate regression analysis was performed to seek possible risk factors for early postoperative recurrence. results the mean age of patients was 30.85 (range: 12-88) years at the onset of enrollâ­ment. during a mean follow up of 55 months, 139 (24.5%) out of 566 crohn's disease patients underwent at least one surgery while 32 (23%) required addiâ­tional surgery during the period after their first surgical intervention. cigarette smoking was a risk factor for both initial ( p =0.001) and additional surgery ( p ˂ 0.00 01). the penetrating behavior of crohn's disease, in addition to its efâ­fect on surgery ( p ˂ 0.00 1), showed a significant influence on disease recurrence ( p ˂ 0.0 007) along with perianal involvement which was significantly associâ­ated with relapse ( p =0.001). although disease duration of more than ten years was a significant risk factor for surgery ( p =0.043) its effect on recurrence was insignificant ( p =0.059). conclusion the rate of initial and additional surgery is much lower in this region of the world, which is partially due to the relatively new occurrence of crohn's disâ­ease in the middle east. cigarette smoking, disease duration over ten years, penetrating behavior of cd, and perianal disease were the main risk factors for surgery.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Risk Factors for Postoperative Recurrence of Crohn’s Disease

BACKGROUND Postoperative relapse is a common feature of Crohn's disease (CD) in Western countries but its frequency and risk factors have not been studied in the Middle East where there is a rapid upsurge in the incidence of CD. This study aims to research the frequency and risk factors of its recurrence after surgery among 566 Iranian patients with CD in Tehran, Iran. METHODS All 566 patient...

متن کامل

Risk Stratification for Prevention of Recurrence of Postoperative Crohn's Disease.

Although there have been significant advances in medical therapies to treat Crohn's disease, an estimated 50% of patients will require surgery within the first decade of disease duration. Of these patients, a substantial number will develop recurrent symptoms within the first postoperative year. To prevent disease recurrence, many physicians use postoperative prophylactic therapy. Randomized, c...

متن کامل

Risk factors for postoperative recurrence of Crohn’s disease with emphasis on surgical predictors

Intestinal resection for Crohn's disease is not curative and postoperative recurrence rates remain high. Early detection of indices associated with recurrence and risk stratification are fundamental for the postoperative management of patients. Early endoscopy at 6-12 months is the "gold standard" procedure, whereas other modalities such as fecal calprotectin and imaging techniques can contribu...

متن کامل

Risk factors for postoperative recurrence after primary bowel resection in patients with Crohn’s disease

AIM To evaluate the risk factors for postoperative recurrence after primary bowel resection in a cohort of Korean Crohn's disease (CD) patients. METHODS This study included 260 patients with no history of previous bowel surgery who underwent primary surgery for CD between January 2000 and December 2010 at Asan Medical Center (Seoul, South Korea). The median follow-up period was 101 mo. RESU...

متن کامل

TOPIC HIGHLIGHT Risk of postoperative recurrence and postoperative management of Crohn’s disease

Crohn’s disease (CD) is a chronic inflammatory disease of the digestive tract with systemic manifestations. Etiology is unknown, even if immunological, genetic and environmental factors are involved. The majority of CD patients require surgery during their lifetime due to progressive bowel damage, but, even when all macroscopic lesions have been removed by surgery, the disease recurs in most ca...

متن کامل

Risk factors for recurrence of postoperative trichiasis: implications for trachoma blindness prevention.

BACKGROUND Trachoma is the leading worldwide cause of preventable blindness. Surgery can alleviate trachomatous trichiasis (TT), the blinding sequelae of trachoma, but recurrence rates are high. OBJECTIVE To investigate risk factors for TT recurrence. METHODS We conducted a prospective case-control cohort study in Nepal that included patients with TT who were undergoing bilamellar tarsal-ro...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
middle east journal of digestive diseases

جلد ۴، شماره ۴، صفحات ۱۹۹-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023