Abstract
One hundred thirty patients with Crohn's disease operated at the Mount Sinai Hospital were studied to determine the incidence of early postoperative complications. Thirty per cent of patients developed postoperative complications, while eight per cent had major complications requiring readmission to the hospital, reoperation, or suture of a bleeding vessel. Patients with a low preoperative serum albumin concentration had a significantly higher incidence of nonseptic and multiple complications. Septic complications were more common in patients having extensive resections and in those with multiple previous operations. There was also a significantly higher complication rate in patients requiring permanent or temporary ileostomy as opposed to those having intestinal anastomosis. The majority of complications in the patients with ileostomy were nonseptic in nature. There were no mortalities in this series.
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- Dyer N. H., Dawson A. M. Malnutrition and malabsorption in Crohn's disease with reference to the effect of surgery. Br J Surg. 1973 Feb;60(2):134–140. doi: 10.1002/bjs.1800600211. [DOI] [PubMed] [Google Scholar]
- Fasth S., Hellberg R., Hultén L., Magnusson O. Early complications after surgical treatment for Crohn's disease with particular reference to factors affecting their development. Acta Chir Scand. 1980;146(7):519–526. [PubMed] [Google Scholar]
- GARLOCK J. H., CROHN B. B., KLEIN S. H., YARNIS H. An appraisal of the long-term results of surgical treatment of regional ileitis. Gastroenterology. 1951 Nov;19(3):414–423. [PubMed] [Google Scholar]
- Harries A. D., Heatley R. V. Nutritional disturbances in Crohn's disease. Postgrad Med J. 1983 Nov;59(697):690–697. doi: 10.1136/pgmj.59.697.690. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heimann T., Gelernt I., Schanzer H., Sachar D. B., Greenstein A. J., Aufses A. H., Jr Surgical treatment, skin test reactivity, and lymphocytes in inflammatory bowel disease. Am J Surg. 1983 Feb;145(2):199–201. doi: 10.1016/0002-9610(83)90061-2. [DOI] [PubMed] [Google Scholar]
- Hellberg R., Hultén L., Björn-Rasmussen E. The nutritional and haematological status before and after primary and subsequent resectional procedures for classical Crohn's disease and Crohn's colitis. Acta Chir Scand. 1982;148(5):453–460. [PubMed] [Google Scholar]
- Higgens C. S., Keighley M. R., Allan R. N. Impact of preoperative weight loss on postoperative morbidity. J R Soc Med. 1981 Aug;74(8):571–573. [PMC free article] [PubMed] [Google Scholar]
- Ing A. F., Meakins J. L., McLean A. P., Christou N. V. Determinants of susceptibility to sepsis and mortality: malnutrition vs anergy. J Surg Res. 1982 Mar;32(3):249–255. doi: 10.1016/0022-4804(82)90099-3. [DOI] [PubMed] [Google Scholar]
- Knudsen L., Christiansen L., Jarnum S. Early complications in patients previously treated with corticosteroids. Scand J Gastroenterol Suppl. 1976;37:123–128. [PubMed] [Google Scholar]
- Mullen J. L., Buzby G. P., Waldman M. T., Gertner M. H., Hobbs C. L., Rosato E. F. Prediction of operative morbidity and mortality by preoperative nutritional assessment. Surg Forum. 1979;30:80–82. [PubMed] [Google Scholar]
- Mullen J. L. Consequences of malnutrition in the surgical patient. Surg Clin North Am. 1981 Jun;61(3):465–487. doi: 10.1016/s0039-6109(16)42431-x. [DOI] [PubMed] [Google Scholar]
- Nazari S., Dionigi R., Comodi I., Dionigi P., Campani M. Preoperative prediction and quantification of septic risk caused by malnutrition. Arch Surg. 1982 Mar;117(3):266–274. doi: 10.1001/archsurg.1982.01380270002002. [DOI] [PubMed] [Google Scholar]
- STEINFELD J. L., DAVIDSON J. D., GORDON R. S., Jr, GREENE F. E. The mechanism of hypoproteinemia in patients with regional enteritis and ulcerative colitis. Am J Med. 1960 Sep;29:405–415. doi: 10.1016/0002-9343(60)90036-x. [DOI] [PubMed] [Google Scholar]