P105 PREDICTIVE FACTORS FOR DEVELOPING SMALL BOWEL OBSTRUCTIONS AFTER ILEAL RESECTION IN PATIENTS WITH CROHN’S DISEASE

2020 ◽  
Vol 158 (3) ◽  
pp. S34-S35
Author(s):  
Aditi Mulgund ◽  
Nedhi Patel ◽  
Michael Schwartz ◽  
Poonam Beniwal-Patel ◽  
Patel Amir ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Predictive Factors ◽  
Ileal Resection

S1267 Recurrence and Long-Term Evolution of Transmural and Luminal Small Bowel Lesions After Curative Ileal Resection in Crohn's Disease (CD) Patients

2008 ◽  
Vol 134 (4) ◽  
pp. A-214
Author(s):  
Nadia Pallotta ◽  
Naima Abdulkadir Hassan ◽  
Chiara Montesani ◽  
Piero Chirletti ◽  
Anna Maria Pronio ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Long Term Evolution ◽  
Ileal Resection ◽  
Term Evolution

scholarly journals Predictive factors of small bowel patency in Crohn's disease patients

2015 ◽  
Vol 108 ◽  
Author(s):  
Andreia Albuquerque ◽  
Hélder Cardoso ◽  
Margarida Marques ◽  
Susana Rodrigues ◽  
Filipe Vilas-Boas ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Predictive Factors

P105 PREDICTIVE FACTORS FOR DEVELOPING SMALL BOWEL OBSTRUCTIONS AFTER ILEAL RESECTION IN PATIENTS WITH CROHN’S DISEASE

2020 ◽  
Vol 26 (Supplement_1) ◽  
pp. S21-S22
Author(s):  
Aditi Mulgund ◽  
Nedhi Patel ◽  
Michael Schwartz ◽  
Poonam Beniwal-Patel ◽  
Patel Amir ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Ileocecal Resection ◽  
Ileal Resection ◽  
Post Surgery ◽  
Initial Surgery ◽  
The Mean ◽  
Resected Bowel

Abstract Background and Aims Patients with Crohn’s disease (CD) may require small bowel resections. Unfortunately, some of these patients may develop post-operative small bowel obstructions (SBO). Many clinicians perceive ileal resections dramatically increase the risk of developing SBO in the future, but the incidence and risk factors to developing SBO are poorly described. The primary aim of this study is to document the incidence and factors associated with the development of SBO not related to recurrence of disease in CD patients that undergo ileal resection. We also sought to assess long-term outcomes of this complication. Methods We performed a retrospective cohort study including patients aged 18 years or older with CD, who have had ileocecal resection with ileocolonic anastomosis or segmental small bowel resection. Data abstracted included demographics, phenotype and therapies of CD, disease recurrence post-ileal resection and multiple surgical variables. The primary outcome was the development of SBO within 5 years post-surgery not including obstructions secondary to recurrence of CD. Results 92 total patients were included in the analysis. All had a colonoscopy within a year of the surgery. The mean Rutgeerts score was 0 (interquartile range [IQR] 0 to 2) and the mean short endoscopic score was 0 (IQR 0 to 4). The remainder of baseline characteristics are shown in Table 1. At 6 months, 1 year, and 5 years, the rate of SBO was 4/92 (4%), 6/92 (6.5%), and 15/92 (16%), respectively. Throughout follow-up, only 5 patients had an SBO attributed to intra-abdominal adhesions and only 2 patients required surgical lysis of adhesions. Patients that were found to have histologic inflammation in the margins of the resected bowel specimen had a significantly higher chance of developing an SBO within 5 years of the initial surgery (OR: 4.5 [95%CI: 1.3–15.3], p=0.02 - Table 2). Conversely, patients with either active endoscopic and/or radiologic inflammation on post surgical surveillance colonoscopy did not have a higher risk of developing an SBO within 5 years of the initial surgery (p=0.37). Finally the length of bowel resected at the index surgery was not associated with the development of an SBO (AUC: 0.62, p=0.18). Conclusions The incidence of SBO after ileal resection in CD is low and resolves with medical management on most cases. Inflammation in the margins of the resected bowel and previous bowel resections were associated with new SBO within 5 years. These results must take into account the study population were monitored and cannot be extrapolated to those patients that lost follow-up.

Sa1218 Predictive Factors of Proximal Small Bowel Crohn's Disease Detected At Capsule Endoscopy

2014 ◽  
Vol 146 (5) ◽  
pp. S-233 ◽  
Author(s):  
Susana Rodrigues ◽  
Helder Cardoso ◽  
Bruno Rosa ◽  
Margarida Marques ◽  
Susana Lopes ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Predictive Factors ◽  
Capsule Endoscopy ◽  
Proximal Small Bowel
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