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Segmental resection...
Segmental resection or subtotal colectomy in Crohn's colitis?
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- Andersson, Peter, 1957- (författare)
- Linköpings universitet,Kirurgi,Hälsouniversitetet
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- Olaison, Gunnar, 1947- (författare)
- Linköpings universitet,Kirurgi,Hälsouniversitetet
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- Hallböök, Olof, 1954- (författare)
- Linköpings universitet,Kirurgi,Hälsouniversitetet
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- Sjödahl, Rune, 1938- (författare)
- Linköpings universitet,Kirurgi,Hälsouniversitetet
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(creator_code:org_t)
- Ovid Technologies (Wolters Kluwer Health), 2002
- 2002
- Engelska.
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Ingår i: Diseases of the Colon & Rectum. - : Ovid Technologies (Wolters Kluwer Health). - 0012-3706 .- 1530-0358. ; 45:1, s. 47-53
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- PURPOSE: Segmental resection for Crohn's colitis is controversial. Compared with subtotal colectomy, segmental resection is reported to be associated with a higher rate of re-resection. Few studies address this issue, and postoperative functional outcome has not been reported previously. This study compared segmental resection to subtotal colectomy with anastomosis with regard to re-resection, postoperative symptoms, and anorectal function.METHODS: Fifty-seven patients operated on between 1970 and 1997 with segmental resection (n = 31) or subtotal colectomy (n = 26) were included. Reoperative procedures were analyzed by a life-table technique. Segmentally resected patients were also compared separately with a subgroup of subtotally colectomized patients (n = 12) with similarly limited colonic involvement. Symptoms were assessed according to Best's modified Crohn's Disease Activity Index and an anorectal function score.RESULTS: The re-resection rate did not differ between groups in either the entire study population (P = 0.46) or the subgroup of patients with comparable colonic involvement (P = 0.78). Segmentally resected patients had fewer symptoms (P = 0.039), fewer loose stools (P = 0.002), and better anorectal function (P = 0.027). Multivariate analysis revealed the number of colonic segments removed to be the strongest predictive factor for postoperative symptoms and anorectal function (P = 0.026 and P = 0.013, respectively).CONCLUSION: Segmental resection should be considered in limited Crohn's colitis.
Nyckelord
- MEDICINE
- MEDICIN
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- ref (ämneskategori)
- art (ämneskategori)
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