Risk factors for major complications after surgical treatment of primary ileocecal Crohn’s disease. A multicentric Latin American experience

• DOI: 10.1016/j.cireng.2023.05.002
• Publication Date: 2023-05-25T16:49:14Z
• Authors: Nicolás Avellaneda; Claudio Saddy Rod...; Henrique Sarubbi ...; Rogerio Saad-Hossne; Juan Pablo Muñoz; Rafael García-Dup...; Felipe Bellolio; Nicolás Rotholtz; Gustavo Rossi; Juan Ricardo Marq...; Mariano Cillo; Antonio Lacerda-F...; Augusto Carrie; Beatriz Yuki Maru...; Lucio Sarubbi Fil...; Marcela Maria Sil...; Ezequiel Ferro; Eduardo Londoño-S...; Andrés Iglesias; Camila Bras Harriott; Juan Pablo Campana; Daniel Londoño Es...; Rogini Balachandran; Paulo Gustavo Kotze
• Keywords: Ileocecal valve

Complications after ileocecal resection for Crohn's disease (CD) are frequent. The aim of this study was to analyze risk factors postoperative complications these procedures.We conducted a retrospective analysis patients treated surgically limited the region during an 8-year period at 10 medical centers specialized in inflammatory bowel (IBD) Latin America. Patients were allocated into 2 groups: those who presented major (Clavien-Dindo > II), "postoperative complication" (POC) group; and did not, "no (NPOC) group. Preoperative characteristics intraoperative variables analyzed identify possible POC.In total, 337 included, with 51 (15.13%) POC cohort. Smoking more prevalent among (31.37 vs. 17.83; P = .026), preoperative anemia (33.33 17.48%; .009), required urgent care (37.25 22.38; .023), had lower albumin levels. Complicated associated higher morbidity. longer operative time (188.77 143.86 min; .005), (17.65 4.55%; < .001), rates primary anastomosis. In multivariate analysis, both smoking independently occurrence complications.This shows that resections America similar reported elsewhere. Future efforts should be aimed improving outcomes by controlling some identified factors.