Authors: M Handler I Dotan J M Klausner H Yanai E Neeman H Tulchinsky
Publish Date: 2016/02/17
Volume: 20, Issue: 5, Pages: 287-292
Abstract
Records of patients with isolated colonic Crohn’s disease who underwent colectomy between 1995 and 2013 and were followed at our medical center were identified Data on age at diagnosis gender smoking disease location at diagnosis perianal and rectal disease indication for surgery preoperative disease duration type of operation primary anastomosis at first operation length of resected specimen recurrence of symptoms postoperative medication reoperation and total followup time were retrievedThirtyfive suitable patients 18 segmental colectomy 17 extensive colectomy 17 males mean age at operation 366 years were identified Mean age at primary operation was 36 years The mean preoperative disease duration was 121 months Postoperative medical treatment was needed in 10 56 patients undergoing segmental colectomy and in 16 94 of those undergoing extensive colectomy p = 001 There was longer reoperationfree survival in the segmental colectomy patient group p = 002 and also a trend toward longer symptomfree survival compared to the extensive colectomy patient group p = 0105 There was no correlation between the length of resected bowel and recurrence Patients operated on at a younger age did not have a higher rate of recurrence of symptoms Shorter disease duration smoking and male gender were risk factors for clinical recurrence
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