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[Intestinal fistulas in Crohn disease].
Minerva Chir. 2000 Jun; 55(6):431-5.MC

Abstract

BACKGROUND

Only a part of patients suffering from Crohn's disease has enteric fistulae and a different behaviour of Crohn's disease with fistulae is reported in the literature. Aim of this paper is to evaluate if enteric fistulae are a factor conditioning mortality, morbidity and overall postoperative course, in patients with Crohn's disease.

METHODS

Data on the postoperative course of 126 laparotomies for Crohn's disease, performed between November 1993 and July 1998, have been prospectively examined. Moreover, the presence of enteric fistula has been evaluated during surgery.

RESULTS

Out of 126 interventions, in 58 (46%) enteric fistulae were present. Mortality (5.2% vs 0), morbidity (14.5% vs 7.3%), necessity for a temporary ostomy (20.4% vs 3.5%) were greater in those patients with fistula, as compared as those without fistula.

CONCLUSIONS

In conclusion, it is suggested that Crohn's disease with fistulae is a different type of disease, with higher mortality and morbidity rates.

Authors+Show Affiliations

Fronda GR
Dipartimento Medico Chirurgico, Azienda Ospedaliera S. Giovanni Battista, Torino.
Resegotti A
No affiliation info available
Astegiano M
No affiliation info available
Farina EC
No affiliation info available
Patelli E
No affiliation info available
Giustetto A
No affiliation info available
De Paolis P
No affiliation info available

MeSH

AdultColonic DiseasesCrohn DiseaseDuodenal DiseasesFemaleHumansIleal DiseasesIleostomyIntestinal FistulaMaleProspective StudiesSigmoid Diseases

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ita

PubMed ID

11059237

Citation

Fronda, G R., et al. "[Intestinal Fistulas in Crohn Disease]." Minerva Chirurgica, vol. 55, no. 6, 2000, pp. 431-5.
Fronda GR, Resegotti A, Astegiano M, et al. [Intestinal fistulas in Crohn disease]. Minerva Chir. 2000;55(6):431-5.
Fronda, G. R., Resegotti, A., Astegiano, M., Farina, E. C., Patelli, E., Giustetto, A., & De Paolis, P. (2000). [Intestinal fistulas in Crohn disease]. Minerva Chirurgica, 55(6), 431-5.
Fronda GR, et al. [Intestinal Fistulas in Crohn Disease]. Minerva Chir. 2000;55(6):431-5. PubMed PMID: 11059237.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Intestinal fistulas in Crohn disease]. AU - Fronda,G R, AU - Resegotti,A, AU - Astegiano,M, AU - Farina,E C, AU - Patelli,E, AU - Giustetto,A, AU - De Paolis,P, PY - 2000/11/4/pubmed PY - 2001/2/28/medline PY - 2000/11/4/entrez SP - 431 EP - 5 JF - Minerva chirurgica JO - Minerva Chir VL - 55 IS - 6 N2 - BACKGROUND: Only a part of patients suffering from Crohn's disease has enteric fistulae and a different behaviour of Crohn's disease with fistulae is reported in the literature. Aim of this paper is to evaluate if enteric fistulae are a factor conditioning mortality, morbidity and overall postoperative course, in patients with Crohn's disease. METHODS: Data on the postoperative course of 126 laparotomies for Crohn's disease, performed between November 1993 and July 1998, have been prospectively examined. Moreover, the presence of enteric fistula has been evaluated during surgery. RESULTS: Out of 126 interventions, in 58 (46%) enteric fistulae were present. Mortality (5.2% vs 0), morbidity (14.5% vs 7.3%), necessity for a temporary ostomy (20.4% vs 3.5%) were greater in those patients with fistula, as compared as those without fistula. CONCLUSIONS: In conclusion, it is suggested that Crohn's disease with fistulae is a different type of disease, with higher mortality and morbidity rates. SN - 0026-4733 UR - https://www.unboundmedicine.com/medline/citation/11059237/[Intestinal_fistulas_in_Crohn_disease]_ DB - PRIME DP - Unbound Medicine ER -