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doi:10.22028/D291-38774
Titel: | Effect of immunosuppressive medication on postoperative complications following abdominal surgery in Crohn's disease patients |
VerfasserIn: | Lahes, Saleh Fischer, Celine Spiliotis, Antonios E. Schulz, Antje Gäbelein, Gereon Igna, Dorian Glanemann, Matthias |
Sprache: | Englisch |
Titel: | International Journal of Colorectal Disease |
Bandnummer: | 37 |
Heft: | 12 |
Seiten: | 2535–2542 |
Verlag/Plattform: | Springer Nature |
Erscheinungsjahr: | 2022 |
Freie Schlagwörter: | Crohn’s disease Immunosuppressive agents Colorectal surgery Postoperative complications |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | Background Immunosuppressants represent an efective pharmacological treatment for the remission and management of Crohn’s disease (CD); however, it has not been well-defned if these medications are associated with an increased incidence of postoperative complications after intestinal surgery. This retrospective study evaluated the association between immunosuppressive treatment and complications following bowel resection in patients with CD. Methods A total of 426 patients with CD who underwent abdominal surgery between 2001 and 2018 were included in the study. The participants were divided into two groups. In the frst group, patients were under immunosuppressive treatment at the time of surgical resection, while in the second group, patients had never received pharmacological therapy for CD before surgery. Results No statistically signifcant diference was found in the incidence of postoperative complications between the two groups. Double or triple immunosuppressive therapy was not associated with increased complications compared to monotherapy or no pharmacological treatment. Preoperative risk factors such as hypoalbuminemia, abscess, fstula, intestinal perforation, long duration of symptoms, and the intraoperative performance of more than one anastomosis were related to increased rates of postoperative complications. Factors afecting the occurrence of postoperative complications in the univariate analysis were included in the multivariate analysis using a stepwise logistic regression model, and these factors were also related to increased rates of postoperative surgical complications. Conclusion Immunosuppressive therapy was not associated with increased rates of postoperative complications following bowel resection in patients with CD. |
DOI der Erstveröffentlichung: | 10.1007/s00384-022-04287-4 |
URL der Erstveröffentlichung: | https://link.springer.com/article/10.1007/s00384-022-04287-4 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-387743 hdl:20.500.11880/34940 http://dx.doi.org/10.22028/D291-38774 |
ISSN: | 1432-1262 |
Datum des Eintrags: | 20-Jan-2023 |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Chirurgie |
Professur: | M - Prof. Dr. Matthias Glanemann |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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s00384-022-04287-4.pdf | 569,98 kB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons