The correlation of anti-TNF agents with POC was analysed, whereas other prognostic factors were searched by univariate and multivariate analysis. Patients with diverting ileostomy were excluded. This is a retrospective study of CD patients who underwent enterectomy between 20. Our purpose is to investigate the correlation between preoperative anti-TNF administration in Crohn's disease (CD) patients undergoing enterectomy and postoperative complications (POC). PapaconstantinouĢnd Surgical Department, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens, Greece

P002 Perioperative administration of anti-TNF agents does not increase postoperative complications in Crohn's disease patientsĪ. In selected UC patients with no active colitis, SC could represent an alternative to TPC or TC. The endoscopic scores before SC were Mayo II-III in 5/5 (100%) patients with early flare-up vs 16/44 without it (36% P = 0.01) and in 9/12 (75%) with reoperation for colitis vs 11/35 without (31% P = 0.02).Īfter SC in UC patients, early flare-up is rare (7%) and 19% required reoperation for colitis.

After a median follow-up of 40 months, 24/69 patients (35%) underwent total colectomy (TC) ( n = 9), coloproctectomy (TPC) ( n = 13), or new SC ( n = 2). Postoperative complications were observed in 17/72 (24%): 3 patients died postoperatively (4%) 5/69 patients (7%) developed early flare-up of UC and 29/64 (45%) more than 3 months after SC after a median delay of 26 months. Postoperative complications, long-term results and risk factors for colitis and reoperation were assessed.ħ2 patients with a mean age of 57 ± 17 years underwent sigmoidectomy or left colectomy ( n = 37), right colectomy ( n = 24) or proctectomy ( n = 11). The aim of this study was to report a multicentric experience of SC in UC. “There is no place for segmental colectomy (SC) in ulcerative colitis (UC)” due to the supposed risk of postoperative colitis. Sacco, Milan, Italy, 12University Hospital La Fe, Valence, Spain, 13CHU Liège, Liège, Belgium Panis 1ġBeaujon Hospital, Clichy, France, 2CHU Rouen, Rouen, France, 3Linkoping Hospital, Linkoping, Sweden, 4Policlinico Tor Vergata, Roma, Italy, 5Policlinico Sant'Orsola Malpighi, Bologna, Italy, 6Hospital Universitari Val d'Hebron, Barcelona, Spain, 7Hôpital Nord, Marseille, France, 8CHU Bordeaux, Bordeaux, France, 9Humanitas Research Hospital, Milan, Italy, 10CHU Lille, Lille, France, 11Ospedale L. P001 Segmental colectomy for ulcerative colitis: a new paradigm? A multi-centre study in 72 patientsĪ.

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