Table 1.
Patient demographics, imaging characteristics, operative characteristics, and postoperative outcomes
| Overall (n = 112) |
Early resection (n = 52) |
Delayed resection (n = 60) |
p value | |
|---|---|---|---|---|
| Patient and disease characteristics | ||||
| Male (%) | 68 (61) | 32 (62) | 36 (60) | 1.00 |
| Age (median [IQR]) | 26 [22, 32] | 26 [22, 30] | 27 [22, 33] | 0.35 |
| BMI (median [IQR]) | 22.1 [19.6, 25.1] | 22.4 [19.0, 27.0] | 21.8 [19.7, 24.5] | 0.54 |
| ASA ≥ 3 (%) | 44 (39) | 22 (42) | 22 (37) | 0.68 |
| Smoker (%) | 8 (7) | 5 (10) | 3 (5) | 0.56 |
| Duration of CD, months (median [IQR]) | 6.0 [1.0, 12.0] | 7.0 [1.0, 12.8] | 6.0 [1.0, 11.0] | 0.62 |
| History of prior ICR (%) | 18 (16) | 10 (19) | 8 (13) | 0.56 |
| Perioperative steroids (%) | 18 (16) | 7 (14) | 11 (18) | 0.66 |
| Perioperative biologics (%) | 64 (57) | 31 (60) | 33 (55) | 0.76 |
| WBC, × 103/µL (median [IQR]) | 8.3 [6.4, 10.8] | 8.3 [6.1, 11.1] | 8.2 [6.6, 10.3] | 0.92 |
| Albumin, g/dL (median [IQR]) | 3.1 [2.8, 3.5] | 3.0 [2.8, 3.4] | 3.2 [2.9, 3.6] | 0.10 |
| Imaging characteristics | ||||
| Abscess | 99 (88) | 43 (83) | 56 (93) | 0.15 |
| Abscess size, cm (median [IQR]) | 3.5 [2.5, 4.9] | 0.17 | ||
| Phlegmon | 34 (30) | 16 (31) | 18 (30) | 1.00 |
| Fistula | 52 (46) | 27 (52) | 25 (42) | 0.37 |
| Microperforation | 7 (6) | 5 (10) | 2 (3) | 0.34 |
| Percutaneous abscess drainage (%) | 18 (16) | 1 (2) | 17 (28) | < 0.001 |
| Operative characteristics | ||||
| Time from imaging to surgery, days (median [IQR]) | 9 [3, 25] | 3 [2, 5] | 23 [14, 44] | < 0.001 |
| Laparoscopic approach (%) | 104 (93) | 50 (96) | 54 (90) | 0.37 |
| Conversion (%) | 15 (14) | 6 (12) | 9 (17) | 0.69 |
| Extended ICR (%) | 12 (11) | 4 (8) | 8 (13) | 0.51 |
| Concurrent procedures (%) | 54 (48) | 23 (44) | 31 (52) | 0.55 |
| Fistula takedown | 35 (31) | 11 (21) | 24 (40) | 0.05 |
| Small bowel resection | 16 (14) | 7 (14) | 9 (15) | 1.00 |
| Colectomy | 11 (10) | 6 (12) | 5 (8) | 0.80 |
| Stricturoplasty | 5 (5) | 4 (8) | 1 (2) | 0.28 |
| Diverting stoma (%) | 6 (5) | 5 (10) | 1 (2) | 0.15 |
| Duration, minutes (median [IQR]) | 128 [109, 168] | 125 [112, 162] | 138 [106, 179] | 0.70 |
| Blood loss, mL (median [IQR]) | 75 [50, 150] | 75 [50, 150] | 75 [50, 150] | 0.70 |
| Length of ileal resection, cm (median [IQR]) | 22.4 [16.0, 38.0] | 24.0 [17.0, 46.5] | 22.0 [15.0, 33.0] | 0.35 |
| Postoperative outcomes | ||||
| Length of stay, days (median [IQR]) | 5 [4, 7] | 5 [4, 7] | 5 [4, 7] | 0.66 |
| Any complication (%) | 23 (21) | 13 (25) | 10 (17) | 0.39 |
| Intraabdominal abscess | 5 (5) | 2 (4) | 3 (5) | 1.00 |
| Ileus | 12 (11) | 8 (15) | 4 (7) | 0.14 |
| Superficial surgical site infection | 2 (2) | 1 (2) | 1 (2) | 1.00 |
| Venous thromboembolism | 2 (2) | 2 (4) | 0 (0) | 0.21 |
| Major complication (%) | 4 (4) | 2 (4) | 2 (3) | 1.00 |
| 30-day readmission (%) | 6 (5) | 3 (6) | 3 (5) | 1.00 |
| Follow-up, months (median [IQR]) | 14.3 [1.2, 24.1] | 14.4 [1.0, 26.7] | 14.3 [1.5, 23.7] | 0.84 |
| Subsequent surgerya (%) | 5 (5) | 2 (4) | 3 (5) | 1.00 |
Statistics presented as Median (IQR) or N (%)
aSubsequent surgery: ileocolic resection (n = 4), small bowel resection (n = 1)