Incidence of adhesive small bowel obstruction after surgery for colorectal cancer in Sweden 2007-2016

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Sakari, ThorbjörnUppsala universitet,Gastrointestinalkirurgi,Department of Surgery, CFUG, Gävle Hospital, Sweden,Gastrokirurgi (author)

Incidence of adhesive small bowel obstruction after surgery for colorectal cancer in Sweden 2007-2016

Article/chapterEnglish2024

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John Wiley & Sons,2024
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LIBRIS-ID:oai:DiVA.org:uu-499544
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-499544URI
https://doi.org/10.1111/codi.16845DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:154612626URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Authors in the list of papers of Thorbjörn B. Sakari's thesis: T. Sakari, F. Sköldberg, C. Weibull, C. Nordenvall, U. Karlbom
AimPopulation-based data on incidence and risk factors of adhesive small bowel obstruction (SBO) are limited. The aims of this study were to assess the risk of SBO and SBO surgery after bowel resection for colorectal cancer (CRC) and to assess whether this risk is modified by minimally invasive surgery (MIS) and radiotherapy in a retrospective national study.MethodsCRCBaSe, a nationwide register linkage originating from the Swedish Colorectal Cancer Register, was used to identify Stage I–III CRC patients who underwent resection in 2007–2016, with follow-up throughout 2017. Matched CRC-free comparators (1:6) were included as a reference of SBO and SBO surgery incidence. The association between MIS and preoperative radiotherapy and the incidence rate of SBO was evaluated in adjusted multivariable Cox regression models.ResultsAmong 33 632 CRC patients and 198 649 comparators, the 5-year cumulative incidence of SBO and SBO surgery was 7.6% and 2.2% among patients and 0.6% and 0.2% among comparators, with death as a competing risk. In all patients, MIS was associated with a reduced incidence of SBO (hazard ratio [HR] 0.7, 95% CI 0.6–0.8) and SBO surgery (HR 0.5, 95% CI 0.3–0.7). In rectal cancer patients, radiotherapy was associated with an increased incidence of SBO (HR 1.6, 95% CI 1.4–1.8) and SBO surgery (HR 1.7, 95% CI 1.3–2.3).DiscussionColorectal cancer surgery is associated with a marked increase in risk of SBO, compared with the general population. The incidence is further increased if open surgery or radiotherapy is performed.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
colorectal cancer
emergency surgery
SBO
small bowel obstruction
Surgery
Kirurgi

Added entries (persons, corporate bodies, meetings, titles ...)

Sköldberg, FilipUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)filipsb (author)
Dietrich, Caroline E.Karolinska Institutet (author)
Nordenvall, CarolineKarolinska Institutet (author)
Karlbom, UrbanUppsala universitet,Gastrointestinalkirurgi(Swepub:uu)urbakarl (author)
Uppsala universitetGastrointestinalkirurgi (creator_code:org_t)

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In:Colorectal Disease: John Wiley & Sons26:2, s. 300-3081462-89101463-1318

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