Montreal classification of patient operated for crohn's disease and identification of surgical recurrence predictors / Caracterização de pacientes operados por doença de crohn pela classificação de montreal e identificação de fatores preditores de sua recorrência cirúrgica
Bechara, Cristiane de Souza; Lacerda Filho, Antonio; Ferrari, Maria de Lourdes Abreu; Andrade, Déborah Almeida Roquette; Luz, Magda Maria Profeta da; Silva, Rodrigo Gomes da.
Rev. Col. Bras. Cir;
42(2): 97-104, Mar-Apr/2015. tab, graf
Artículo
en Inglés
| LILACS | ID: lil-752118
OBJECTIVE: To evaluate Crohn's disease recurrence and its possible predictors in patients undergoing surgical treatment. METHODS: We conducted a retrospective study with Crohn's disease (CD) patients undergoing surgical treatment between January 1992 and January 2012, and regularly monitored at the Bowel Clinic of the Hospital das Clínicas of the UFMG. RESULTS: we evaluated 125 patients, 50.4% female, with a mean age of 46.12 years, the majority (63.2%) diagnosed between 17 and 40 years of age. The ileum was involved in 58.4%, whereas stenotic behavior was observed in 44.8%, and penetrating, in 45.6%. We observed perianal disease in 26.4% of cases. The follow-up average was 152.40 months. Surgical relapse occurred in 29.6%, with a median time of 68 months from the first operation. CONCLUSION: The ileocolic location, penetrating behavior and perianal involvement (L3B3p) were associated with increased risk of surgical recurrence.
Biblioteca responsable:
BR1.1
Texto completo