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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  ;  Won Ho Kim 
Citation
 International Journal of Colorectal Disease, Vol.32(4) : 591-594, 2017 
Journal Title
 International Journal of Colorectal Disease 
ISSN
 0179-1958 
Issue Date
2017
MeSH
Adult ; Behcet Syndrome/pathology ; Behcet Syndrome/surgery* ; Digestive System Surgical Procedures/methods* ; Humans ; Intestines/pathology* ; Intestines/surgery* ; Middle Aged ; Reoperation* ; Risk ; Risk Factors ; Treatment Outcome
Keywords
Intestinal Behçet’s disease ; Prognostic factor ; Reoperation
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.
Full Text
https://link.springer.com/article/10.1007%2Fs00384-016-2743-y
DOI
10.1007/s00384-016-2743-y
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Soo Jung(박수정)
Park, Yong Eun(박용은)
Park, Ji Hye(박지혜)
Lee, Ji Hoon(이지훈)
Lee, Hyun Jung(이현정)
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154253
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