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Segmental Colectomy...
Segmental Colectomy for Ulcerative Colitis: Is There a Place in Selected Patients Without Active Colitis? An International Multicentric Retrospective Study in 72 Patients
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- Frontali, A. (författare)
- Beaujon Hosp, France; Univ Paris, France
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- Cohen, L. (författare)
- Univ Paris VII, France
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- Bridoux, V (författare)
- CHU Rouen, France
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- Myrelid, Pär (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Sica, G. (författare)
- Policlin Tor Vergata, Italy
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- Poggioli, Gilberto (författare)
- Policlin St Orsola Malpighi, Italy
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- Espin, E. (författare)
- Hosp Univ Val dHebron, Spain
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- Beyer-Berjot, L. (författare)
- Hop Nord Marseille, France
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- Laharie, D. (författare)
- CHU Bordeaux, France
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- Spinelli, A. (författare)
- IRCCS, Italy; Humanitas Univ, Italy
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- Zerbib, P. (författare)
- CHU Lille, France
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- Sampietro, G. (författare)
- Luigi Sacco Univ Hosp, Italy
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- Frasson, M. (författare)
- Univ Hosp La Fe, Spain
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- Louis, E. (författare)
- CHU Liege, Belgium
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- Danese, S. (författare)
- Humanitas Univ, Italy; IRCCS, Italy
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- Fumery, M. (författare)
- CHU Amiens Picardie, France
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- Denost, Q. (författare)
- CHU Bordeaux, France
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- Altwegg, R. (författare)
- CHU Montpellier, France
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- Nancey, S. (författare)
- CHU Lyon, France
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- Michelassi, F. (författare)
- Weill Cornell Med Ctr, NY USA
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- Treton, X. (författare)
- Univ Paris VII, France
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- Panis, Y. (författare)
- Beaujon Hosp, France; Univ Paris, France
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(creator_code:org_t)
- 2020-06-04
- 2020
- Engelska.
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Ingår i: Journal of Crohn's & Colitis. - : OXFORD UNIV PRESS. - 1873-9946 .- 1876-4479. ; 14:12, s. 1687-1692
- Relaterad länk:
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https://academic.oup...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background and Aims: The aim of this study was to report a multicentric experience of segmental colectomy [SC] in ulcerative colitis [UC] patients without active colitis, in order to assess if SC can or cannot represent an alternative to ileal pouch-anal anastomosis [IPAA]. Methods: All UC patients undergoing SC were included. Postoperative complications according to Clavien-Dindos classification, long-term results, and risk factors for postoperative colitis and reoperation for colitis on the remnant colon, were assessed. Results: A total of 72 UC patients underwent: sigmoidectomy [n = 28], right colectomy [n = 24], proctectomy [n = 11], or left colectomy [n = 9] for colonic cancer [n = 27], diverticulitis [n = 17], colonic stenosis [n = 5], dysplasia or polyps [n = 8], and miscellaneous [n = 15]. Three patients died postoperatively and 5/69 patients [7%] developed early flare of UC within 3 months after SC. After a median follow-up of 40 months, 24/ 69 patients [35%] were reoperated after a median delay after SC of 19 months [range, 2-158 months]: 22/24 [92%] underwent total colectomy and ileorectal anastomosis [n = 9] or total coloproctectomy [TCP] [n = 13] and 2/24 [8%] an additional SC. Reasons for reoperation were: colitis [n = 14; 20%], cancer [n = 3] or dysplasia [n = 3], colonic stenosis [n = 1], and unknown reasons [n = 3]. Endoscopic score of colitis before SC was Mayo 23 in 5/5 [100%] patients with early flare vs 15/42 without early flare [36%; p = 0.0101] and in 9/12 [75%] patients with reoperation for colitis vs 11/35 without reoperation [31%; p = 0.016]. Conclusions: After segmental colectomy in UC patients, postoperative early colitis is rare [7%]. Segmental colectomy could possibly represent an alternative to IPAA in selected UC patients without active colitis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Nyckelord
- Segmental colectomy; ulcerative colitis; postoperative flare
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Frontali, A.
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Cohen, L.
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Bridoux, V
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Myrelid, Pär
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Sica, G.
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Poggioli, Gilber ...
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visa fler...
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Espin, E.
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Beyer-Berjot, L.
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Laharie, D.
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Spinelli, A.
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Zerbib, P.
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Sampietro, G.
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Frasson, M.
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Louis, E.
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Danese, S.
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Fumery, M.
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Denost, Q.
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Altwegg, R.
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Nancey, S.
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Michelassi, F.
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Treton, X.
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Panis, Y.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Gastroenterologi
- Artiklar i publikationen
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Journal of Crohn ...
- Av lärosätet
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Linköpings universitet