Study compares surgical techniques for Crohn disease, highlighting outcomes of open or laparoscopic resection of small bowel or strictureplasty.
Small bowel resection for Crohn disease is associated with the longest hospital stay and increased risk of postoperative wound complications.
A study analyzed data from American College of Surgeons national surgical quality registry database from 2015 to 2020.
Out of 2,578 patients included, small bowel resection, resection with strictureplasty, and strictureplasty alone were performed in 87, 5 percent, and 8 percent of cases, respectively.
Patients undergoing small bowel resection had the longest operative time, highest rates of wound infections, and sepsis compared to other surgical techniques.
Regardless of the surgical approach, outcomes for 30-day reoperation, readmission, and patient disposition on discharge were similar.
A study published in the International Journal of Colorectal Disease compared surgical techniques for patients with Crohn’s disease undergoing small bowel resection or strictureplasty. Data from the American College of Surgeons national surgical quality registry database was analyzed for 2,578 patients between 2015 and 2020. The study found that small bowel resection was associated with the longest hospital stay, highest incidence of wound infections, and sepsis compared to combined surgery or strictureplasty alone. Small bowel resection also had higher odds of postoperative wound complications.
The researchers observed that combined surgery (resection plus strictureplasty) had the longest operative time, while outcomes for 30-day related reoperation, readmission, and patient disposition on hospital discharge were similar among the three surgical techniques. The study highlights the differences in postoperative outcomes between small bowel resection and other surgical approaches for Crohn’s disease, suggesting the importance of considering these factors when determining the most appropriate surgical strategy for each patient.
