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


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-04

AUTHORS

Yong Eun Park, Jae Hee Cheon, Jihye Park, Ji Hoon Lee, Hyun Jung Lee, Soo Jung Park, Tae Il Kim, Won Ho Kim

ABSTRACT

PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. More... »

PAGES

591-594

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00384-016-2743-y

DOI

http://dx.doi.org/10.1007/s00384-016-2743-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003648593

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28028614


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