A contemporary series of surgical outcomes following subtotal colectomy and/or completion proctectomy for management of inflammatory bowel disease

2022 ◽  
Author(s):  
Lucy Burns ◽  
Michael E. Kelly ◽  
Maria Whelan ◽  
James O’Riordan ◽  
Paul Neary ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Surgical Outcomes ◽  
Subtotal Colectomy ◽  
Inflammatory Bowel

Racial disparities exist in surgical outcomes for patients with inflammatory bowel disease (IBD)

2020 ◽  
Author(s):  
Isabel C. Dos Santos Marques ◽  
Lauren M. Theiss ◽  
Lauren N. Wood ◽  
Drew J. Gunnells ◽  
Robert H. Hollis ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Racial Disparities ◽  
Bowel Disease ◽  
Surgical Outcomes ◽  
Inflammatory Bowel

scholarly journals Sarcopenia as an independent predictor of the surgical outcomes of patients with inflammatory bowel disease: a meta-analysis

Surgery Today ◽  
2019 ◽  
Vol 50 (10) ◽  
pp. 1138-1150 ◽  
Author(s):  
Adrienn Erős ◽  
Alexandra Soós ◽  
Péter Hegyi ◽  
Zsolt Szakács ◽  
Márton Benke ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Postoperative Complications ◽  
Early Detection ◽  
Confidence Interval ◽  
Bowel Disease ◽  
Surgical Outcomes ◽  
Independent Predictor ◽  
Meta Analysis ◽  
Random Effects Models ◽  
Inflammatory Bowel

Abstract Patients with inflammatory bowel disease (IBD) are at risk of sarcopenia, which is associated with poor clinical outcomes. We conducted this study to assess whether sarcopenia predicts the need for surgery and postoperative complications in patients with IBD. We performed a systematic search of four electronic databases, last updated in March, 2019. Data from studies comparing rates of surgery and postoperative complications in sarcopenic IBD patients versus non-sarcopenic IBD patients were pooled with the random-effects models. We calculated the odds ratios (OR) with a 95% confidence interval (CI). Ten studies with a collective total of 885 IBD patients were included in our meta-analysis. Although the analysis of raw data did not reveal significant differences between the two groups with respect to the rate of surgery and postoperative complications (OR = 1.826; 95% CI 0.913–3.654; p = 0.089 and OR = 3.265; 95% CI 0.575–18.557; p = 0.182, respectively), the analysis of adjusted data identified sarcopenia as an independent predictor for both of the undesirable outcomes (OR = 2.655; 95% CI 1.121–6.336; p = 0.027 and OR = 6.097; 95% CI 1.756–21.175; p = 0.004, respectively). Thus, early detection of sarcopenia in patients with IBD is important to prevent undesirable outcomes.

Management of Rectal Stump During Laparoscopic Subtotal Colectomy for Inflammatory Bowel Disease: A Comparative Cohort Study from Six Referral Centres

2020 ◽  
Vol 14 (9) ◽  
pp. 1214-1221 ◽  
Author(s):  
Diane Mege ◽  
Merel E Stellingwerf ◽  
Adeline Germain ◽  
Francesco Colombo ◽  
Gianluca Pellino ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Subtotal Colectomy ◽  
Rectal Stump ◽  
Best Management ◽  
Comparative Cohort Study ◽  
Laparoscopic Subtotal Colectomy ◽  
Inflammatory Bowel ◽  
The Impact ◽  
Retrospective Database

Abstract Background and Aims There is no consensus on the best management of the rectum after subtotal colectomy for refractory colitis complicating inflammatory bowel disease [IBD]. The objective was to evaluate the impact of rectal stump management during laparoscopic subtotal colectomy [LSTC] for IBD. Methods Patients who underwent LSTC with double-end ileo-sigmoidostomy [Gr.A] or end ileostomy with closed rectal stump [Gr.B] for IBD were included from a retrospective database of six European referral centres. Results In total, 314 patients underwent LSTC and were allocated to Gr.A [n = 102] and B [n = 212]. After LSTC, stoma-related complications occurred more frequently in Gr.A [12%] than in Gr.B [4%, p = 0.01]. Completion proctectomy with ileal pouch-anal anastomosis [IPAA] was performed as a three-stage procedure in all patients from Gr.A, and in 88 patients from Gr.B [42%; Gr.B1]. The other 124 patients from Gr.B underwent a modified two-stage procedure [58%; Gr.B2]. The second stage was performed laparoscopically in all patients from Gr.A compared with 73% of Gr.B1 [p < 0.0001] and 65% of Gr.B2 patients [p < 0.0001]. When laparoscopy was intended for 2nd stage IPAA, conversion to laparotomy occurred less frequently in Gr.A when compared with B1 [0 vs 5%, p = 0.06] or B2 [10%, p = 0.001]. When all surgical stages were included [LSCT and IPAA], cumulative stoma-related complications occurred more frequently in Gr.A [n = 19] than in Gr.B1 [n = 6, p = 0.02] and Gr.B2 [n = 6, p = 0.001]. Conclusion This study suggests that both techniques of double-end ileosigmoidostomy and end ileostomy with closed rectal stump are safe and effective for rectal stump management after laparoscopic subtotal colectomy.

Outcomes of Initial Subtotal Colectomy for Pediatric Inflammatory Bowel Disease

2020 ◽  
Vol 255 ◽  
pp. 319-324
Author(s):  
Naomi-Liza Denning ◽  
Michelle P. Kallis ◽  
Charlotte L. Kvasnovsky ◽  
Aaron M. Lipskar
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Subtotal Colectomy ◽  
Pediatric Inflammatory Bowel Disease ◽  
Inflammatory Bowel

Surgical outcomes of patients treated with ustekinumab vs. vedolizumab in inflammatory bowel disease: a matched case analysis

2018 ◽  
Vol 34 (3) ◽  
pp. 451-457 ◽  
Author(s):  
Matteo Novello ◽  
Luca Stocchi ◽  
Stefan Holubar ◽  
Sherief Shawki ◽  
Jeremy Lipman ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Surgical Outcomes ◽  
Case Analysis ◽  
Inflammatory Bowel ◽  
Matched Case
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