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International study looks at risk factors in Crohn’s surgery

Thu, 10/12/2017 - 09:54
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The paper is based on international audit by ESCP and S-ECCO published in Colorectal Disease journal

An international audit undertaken by the European Society of Coloproctologists (ESCP) and Surgeons of European Crohn’s & Colitis Organisation (S-ECCO) underlines the importance of close cooperation between gastroenterologists and IBD surgeons to identify Crohn’s patients who need surgical intervention. The study predicts that this collaborative approach will reduce the number of urgent operations and therefore allow patient-tailored and timely pre-operative optimisation.

The paper, which has been published by the specialist journal, Colorectal Disease, investigates the risks of unfavourable postoperative outcomes in patients with Crohn’s disease who undergo right hemicolectomy or ileocaecal resection.

“Surgery is still often viewed as failure of medical treatment in many centres in developed world. Maybe it is time to change,” said one of the authors of the paper, Dr Alaa El-Hussuna, Consultant surgeon in Aalborg University Hospital- Denmark and member of ESCP cohort study sub-committee. “This study indicates that if gastroenterologists and surgeons who treat inflammatory bowel disease collaborate more closely to pinpoint patients who may benefit from surgery at an earlier stage, the surgery may be planned more effectively. That would benefit patients and improve the postoperative outcomes.”

Data was collected as part of a prospective, multicentre, international snapshot audit including patients undergoing elective or emergency right hemicolectomy or ileocaecal resection over a two-month period (mid-January –mid-March 2015). Patients were followed-up for 30 days after the primary operation. The audit was performed according to a pre-specified protocol. Within the full audit cohort of 3041 patients, 375 operations were performed for CD patients in 151 centres around the world. The operations included in this study represent a subgroup of the main ESCP audit cohort.