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International Journal of Colorectal Disease
Article . 2016 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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The outcomes and risk factors of early reoperation after initial intestinal resective surgery in patients with intestinal Behçet’s disease

Authors: Yong Eun, Park; Jae Hee, Cheon; Jihye, Park; Ji Hoon, Lee; Hyun Jung, Lee; Soo Jung, Park; Tae Il, Kim; +1 Authors

The outcomes and risk factors of early reoperation after initial intestinal resective surgery in patients with intestinal Behçet’s disease

Abstract

Patients with intestinal Behçet's disease who underwent intestinal resective surgery often require reoperation. However, there have been no studies on the risk factors and outcomes of early reoperation in these patients.We retrospectively evaluated 41 patients with intestinal Behçet's disease who received repeated intestinal resective surgeries between 2006 and 2016. We analyzed two different patient groups-those who required early reoperation within 6 months and those who underwent reoperation >6 months after the initial surgery-and determined the risk factors for early reoperation.Eleven patients (26.8%) underwent reoperation within 6 months and 30 patients (73.2%) after 6 months. Emergency surgery at the initial operation and higher initial perioperative erythrocyte sedimentation rate and C-reactive protein levels were significantly associated with early reoperation in the univariate analysis. After the multivariate analysis, initial emergency operation (P = 0.020; hazard ratio [HR], 42.625; 95% confidence interval [CI], 1.817-1000.088) and high erythrocyte sedimentation rate (P = 0.039; HR, 1.049; 95% CI, 1.002-1.097) were determined to be the independent factors for early reoperation.Emergency surgery and high perioperative erythrocyte sedimentation rate levels were the prognostic factors for early reoperation (within 6 months) in patients with intestinal Behçet's disease after initial bowel resective surgery.

Country
Korea (Republic of)
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Keywords

Adult, Reoperation, Risk, Prognostic factor, Behcet Syndrome, Behcet Syndrome/pathology, Intestines/surgery*, 610, Intestines/pathology*, Middle Aged, Digestive System Surgical Procedures/methods*, Reoperation*, Intestines, Treatment Outcome, Risk Factors, Behcet Syndrome/surgery*, Humans, Intestinal Behçet’s disease, Digestive System Surgical Procedures

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Top 10%
Green