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

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

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)591-594
Number of pages4
JournalInternational Journal of Colorectal Disease
Volume32
Issue number4
DOIs
Publication statusPublished - 2017 Apr 1

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Intestinal Diseases
Reoperation
Blood Sedimentation
Emergencies
Confidence Intervals
C-Reactive Protein
Multivariate Analysis

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Park, Yong Eun ; Cheon, JaeHee ; Park, Jihye ; Lee, Ji Hoon ; Lee, Hyun Jung ; Park, Soo Jung ; Kim, Tae Il ; Kim, Won Ho. / The outcomes and risk factors of early reoperation after initial intestinal resective surgery in patients with intestinal Behçet’s disease. In: International Journal of Colorectal Disease. 2017 ; Vol. 32, No. 4. pp. 591-594.
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abstract = "Purpose: Patients with intestinal Beh{\cc}et’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 Beh{\cc}et’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 Beh{\cc}et’s disease after initial bowel resective surgery.",
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The outcomes and risk factors of early reoperation after initial intestinal resective surgery in patients with intestinal Behçet’s disease. / Park, Yong Eun; Cheon, JaeHee; Park, Jihye; Lee, Ji Hoon; Lee, Hyun Jung; Park, Soo Jung; Kim, Tae Il; Kim, Won Ho.

In: International Journal of Colorectal Disease, Vol. 32, No. 4, 01.04.2017, p. 591-594.

Research output: Contribution to journalArticle

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T1 - The outcomes and risk factors of early reoperation after initial intestinal resective surgery in patients with intestinal Behçet’s disease

AU - Park, Yong Eun

AU - Cheon, JaeHee

AU - Park, Jihye

AU - Lee, Ji Hoon

AU - Lee, Hyun Jung

AU - Park, Soo Jung

AU - Kim, Tae Il

AU - Kim, Won Ho

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N2 - 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.

AB - 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.

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JO - International Journal of Colorectal Disease

JF - International Journal of Colorectal Disease

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