지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.3
- 발행연도
- 2012.9
- 수록면
- 141 - 148 (8page)
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초록· 키워드
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Purpose: To assess the incidence and factors predictive of early postoperative complications in Korean patients who undergo surgery for Crohn’s disease (CD). Methods: We retrospectively assessed 350 patients (246 males, 104 females; mean age, 30 ±9 years) who underwent surgery for primary or recurrent CD at Asan Medical Center between January 1991 and May 2010. The incidence and predictive factors of early postoperative complications were analyzed by both univariate and multivariate analyses. Results: Of the 350 patients, 81 patients (23.1%) developed postoperative complications, the most common being septic complications (54 patients), including 19 cases of wound infection. Thirty patients (8.6%) required re-operations, and only one patient died. Multivariate analysis showed that four factors were independently associated with a high risk of early postoperative complications; preoperative moderate to severe anemia (hematocrit concentration ＜30%; odds ratio [OR], 3.1 ; 95% confidence interval [CI], 1.6 to 5.9), hypoalbuminemia (serum albumin level ＜3.0 g/dL; OR, 2.6; 95% CI, 1.4 to 4.7), emergency surgery (OR, 4.0; 95% CI, 1.5 to 10.6), and covering stoma (OR, 2.6; 95% CI, 1.3 to 5.4). Correction of preoperative moderate to severe anemia and hypoalbuminemia decreased the incidence of postoperative complications. Mean hospital stay was significantly longer in patients with than without postoperative complications (31.3 ± 27.2 days vs. 10.3 ± 3.8 days, P ＜0.001). Conclusion: Preoperative anemia, low albumin level, emergency surgery, and covering stoma significantly increased the risk of early postoperative complications in patients with CD. Correcting preoperatively deficient nutritional factors may reduce postoperative morbidities.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Bernell O / 2000 / Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn’s disease / Br J Surg 87 : 1697 ~ 1701
2. [학술지(정기간행물)] - Post S / 1991 / Risks of intestinal anastomoses in Crohn’s disease / Ann Surg 213 : 37 ~ 42
3. [학술지(정기간행물)] - Yamamoto T / 2000 / Risk factors for intra-abdominal sepsis after surgery in Crohn’s disease / Dis Colon Rectum 43 : 1141 ~ 1145
4. [학술지(정기간행물)] - Tartter PI / 1988 / Relationship of postoperative septic complications and blood transfusions in patients with Crohn’s disease / Am J Surg 155 : 43 ~ 48
5. [학술지(정기간행물)] - Yang SK / 2001 / Epidemiology of inflammatory bowel disease in Asia / Inflamm Bowel Dis 7 : 260 ~ 270
2. [학술지(정기간행물)] - Post S / 1991 / Risks of intestinal anastomoses in Crohn’s disease / Ann Surg 213 : 37 ~ 42
3. [학술지(정기간행물)] - Yamamoto T / 2000 / Risk factors for intra-abdominal sepsis after surgery in Crohn’s disease / Dis Colon Rectum 43 : 1141 ~ 1145
4. [학술지(정기간행물)] - Tartter PI / 1988 / Relationship of postoperative septic complications and blood transfusions in patients with Crohn’s disease / Am J Surg 155 : 43 ~ 48
5. [학술지(정기간행물)] - Yang SK / 2001 / Epidemiology of inflammatory bowel disease in Asia / Inflamm Bowel Dis 7 : 260 ~ 270
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UCI(KEPA) : I410-ECN-0101-2014-514-001420266