Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO

A. El-Hussuna; T. Pinkney; O. Zmora; M. Frasson; A. Bhangu; N. Battersby; S. Chaudhri; D. Nepogodiev; B. Singh; S. Vennix; D. Altomare; W. Bemelman; P. Christensen; A. D'Hoore; S. Laurberg; D. Morton; T. Pinkney; M. Rubbini; C. Vaizey; L. Magill; R. Perry; N. Sheward; Rikke Nørmark Mortensen; Alaa El-Hussuna; M. Cillo; D. Estefania; J. Patron Uriburu; H. Ruiz; M. Salomon; A. Makhmudov; L. Selnyahina; A. Varabei; Y. Vizhynis; D. Claeys; B. Defoort; F. Muysoms; P. Pletinckx; V. Vergucht; I. Debergh; T. Feryn; H. Reusens; M. Nachtergaele; D. Francart; C. Jehaes; S. Markiewicz; B. Monami; J. Weerts; W. Bouckaert; B. Houben; J. Knol; G. Sergeant; G. Vangertruyden; L. Haeck; C. Lange; C. Sommeling; K. Vindevoghel; S. Castro; H. De Bruyn; M. Huyghe; E. De Wolf; D. Reynders; A. D'Hoore; A. de Buck van Overstraeten; A. Wolthuis; S. Delibegovic; A. Christiani; M. Marchiori; C. Rocha de Moraes; V. Tercioti; E. Arabadjieva; D. Bulanov; D. Dardanov; V. Stoyanov; A. Yonkov; K. Angelov; S. Maslyankov; M. Sokolov; G. Todorov; S. Toshev; Y. Georgiev; A. Karashmalakov; G. Zafirov; X. Wang; D. Condic; D. Kraljik; H. Mrkovic; V. Pavkovic; K. Raguž; V. Bencurik; E. Holášková; M. Skrovina; M. Farkašová; T. Grolich; Z. Kala; F. Antos; V. Pruchova; O. Sotona; M. Chobola; T. Dusek; A. Ferko

doi:10.1111/codi.13889

Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO

A. El-Hussuna, T. Pinkney, O. Zmora, M. Frasson, A. Bhangu, N. Battersby, S. Chaudhri, D. Nepogodiev, B. Singh, S. Vennix, D. Altomare, W. Bemelman, P. Christensen, A. D'Hoore, S. Laurberg, D. Morton, T. Pinkney, M. Rubbini, C. Vaizey, L. MagillR. Perry, N. Sheward, Rikke Nørmark Mortensen, Alaa El-Hussuna, M. Cillo, D. Estefania, J. Patron Uriburu, H. Ruiz, M. Salomon, A. Makhmudov, L. Selnyahina, A. Varabei, Y. Vizhynis, D. Claeys, B. Defoort, F. Muysoms, P. Pletinckx, V. Vergucht, I. Debergh, T. Feryn, H. Reusens, M. Nachtergaele, D. Francart, C. Jehaes, S. Markiewicz, B. Monami, J. Weerts, W. Bouckaert, B. Houben, J. Knol, G. Sergeant, G. Vangertruyden, L. Haeck, C. Lange, C. Sommeling, K. Vindevoghel, S. Castro, H. De Bruyn, M. Huyghe, E. De Wolf, D. Reynders, A. D'Hoore, A. de Buck van Overstraeten, A. Wolthuis, S. Delibegovic, A. Christiani, M. Marchiori, C. Rocha de Moraes, V. Tercioti, E. Arabadjieva, D. Bulanov, D. Dardanov, V. Stoyanov, A. Yonkov, K. Angelov, S. Maslyankov, M. Sokolov, G. Todorov, S. Toshev, Y. Georgiev, A. Karashmalakov, G. Zafirov, X. Wang, D. Condic, D. Kraljik, H. Mrkovic, V. Pavkovic, K. Raguž, V. Bencurik, E. Holášková, M. Skrovina, M. Farkašová, T. Grolich, Z. Kala, F. Antos, V. Pruchova, O. Sotona, M. Chobola, T. Dusek, A. Ferko

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

Colorectal Disease © 2017 The Association of Coloproctology of Great Britain and Ireland Aim: Patient- and disease-related factors, as well as operation technique, all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. The aim was to investigate the effect of preoperative and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. Method: This was an international prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection. The study analysed a subset of patients who underwent surgery for Crohn's disease. The primary outcome measure was the overall Clavien–Dindo postoperative complication rate. The key secondary outcomes were anastomotic leak, reoperation, surgical site infection and length of stay in hospital. Multivariable binary logistic regression analyses were used to produce odds ratios and 95% confidence intervals. Results: In all, 375 resections in 375 patients were included. The median age was 37 and 57.1% were women. In multivariate analyses, postoperative complications were associated with preoperative parenteral nutrition (OR 2.36, 95% CI 1.10–4.97), urgent/expedited surgical intervention (OR 2.00, 95% CI 1.13–3.55) and unplanned intra-operative adverse events (OR 2.30, 95% CI 1.20–4.45). The postoperative length of stay in hospital was prolonged in patients who received preoperative parenteral nutrition (OR 31, 95% CI 1.08–1.61) and those who had urgent/expedited operations (OR 1.21, 95% CI 1.07–1.37). Conclusion: Preoperative parenteral nutritional support, urgent/expedited operation and unplanned intra-operative adverse events were associated with unfavourable postoperative outcome. Enhanced preoperative optimization and improved planning of operation pathways and timings may improve outcomes for patients.

Original language	American English
Pages (from-to)	219-227
Number of pages	9
Journal	Colorectal Disease
DOIs	https://doi.org/10.1111/codi.13889
State	Published - 1 Mar 2018
Externally published	Yes

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10.1111/codi.13889

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El-Hussuna, A., Pinkney, T., Zmora, O., Frasson, M., Bhangu, A., Battersby, N., Chaudhri, S., Nepogodiev, D., Singh, B., Vennix, S., Altomare, D., Bemelman, W., Christensen, P., D'Hoore, A., Laurberg, S., Morton, D., Pinkney, T., Rubbini, M., Vaizey, C., ... Ferko, A. (2018). Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO. Colorectal Disease, 219-227. https://doi.org/10.1111/codi.13889

El-Hussuna, A. ; Pinkney, T. ; Zmora, O. ; Frasson, M. ; Bhangu, A. ; Battersby, N. ; Chaudhri, S. ; Nepogodiev, D. ; Singh, B. ; Vennix, S. ; Altomare, D. ; Bemelman, W. ; Christensen, P. ; D'Hoore, A. ; Laurberg, S. ; Morton, D. ; Pinkney, T. ; Rubbini, M. ; Vaizey, C. ; Magill, L. ; Perry, R. ; Sheward, N. ; Nørmark Mortensen, Rikke ; El-Hussuna, Alaa ; Cillo, M. ; Estefania, D. ; Patron Uriburu, J. ; Ruiz, H. ; Salomon, M. ; Makhmudov, A. ; Selnyahina, L. ; Varabei, A. ; Vizhynis, Y. ; Claeys, D. ; Defoort, B. ; Muysoms, F. ; Pletinckx, P. ; Vergucht, V. ; Debergh, I. ; Feryn, T. ; Reusens, H. ; Nachtergaele, M. ; Francart, D. ; Jehaes, C. ; Markiewicz, S. ; Monami, B. ; Weerts, J. ; Bouckaert, W. ; Houben, B. ; Knol, J. ; Sergeant, G. ; Vangertruyden, G. ; Haeck, L. ; Lange, C. ; Sommeling, C. ; Vindevoghel, K. ; Castro, S. ; De Bruyn, H. ; Huyghe, M. ; De Wolf, E. ; Reynders, D. ; D'Hoore, A. ; de Buck van Overstraeten, A. ; Wolthuis, A. ; Delibegovic, S. ; Christiani, A. ; Marchiori, M. ; Rocha de Moraes, C. ; Tercioti, V. ; Arabadjieva, E. ; Bulanov, D. ; Dardanov, D. ; Stoyanov, V. ; Yonkov, A. ; Angelov, K. ; Maslyankov, S. ; Sokolov, M. ; Todorov, G. ; Toshev, S. ; Georgiev, Y. ; Karashmalakov, A. ; Zafirov, G. ; Wang, X. ; Condic, D. ; Kraljik, D. ; Mrkovic, H. ; Pavkovic, V. ; Raguž, K. ; Bencurik, V. ; Holášková, E. ; Skrovina, M. ; Farkašová, M. ; Grolich, T. ; Kala, Z. ; Antos, F. ; Pruchova, V. ; Sotona, O. ; Chobola, M. ; Dusek, T. ; Ferko, A. / Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO. In: Colorectal Disease. 2018 ; pp. 219-227.

@article{9de7a676010f47e8a21a2ec4b715a8c1,

title = "Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO",

abstract = "Colorectal Disease {\textcopyright} 2017 The Association of Coloproctology of Great Britain and Ireland Aim: Patient- and disease-related factors, as well as operation technique, all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. The aim was to investigate the effect of preoperative and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. Method: This was an international prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection. The study analysed a subset of patients who underwent surgery for Crohn's disease. The primary outcome measure was the overall Clavien–Dindo postoperative complication rate. The key secondary outcomes were anastomotic leak, reoperation, surgical site infection and length of stay in hospital. Multivariable binary logistic regression analyses were used to produce odds ratios and 95% confidence intervals. Results: In all, 375 resections in 375 patients were included. The median age was 37 and 57.1% were women. In multivariate analyses, postoperative complications were associated with preoperative parenteral nutrition (OR 2.36, 95% CI 1.10–4.97), urgent/expedited surgical intervention (OR 2.00, 95% CI 1.13–3.55) and unplanned intra-operative adverse events (OR 2.30, 95% CI 1.20–4.45). The postoperative length of stay in hospital was prolonged in patients who received preoperative parenteral nutrition (OR 31, 95% CI 1.08–1.61) and those who had urgent/expedited operations (OR 1.21, 95% CI 1.07–1.37). Conclusion: Preoperative parenteral nutritional support, urgent/expedited operation and unplanned intra-operative adverse events were associated with unfavourable postoperative outcome. Enhanced preoperative optimization and improved planning of operation pathways and timings may improve outcomes for patients.",

author = "A. El-Hussuna and T. Pinkney and O. Zmora and M. Frasson and A. Bhangu and N. Battersby and S. Chaudhri and D. Nepogodiev and B. Singh and S. Vennix and D. Altomare and W. Bemelman and P. Christensen and A. D'Hoore and S. Laurberg and D. Morton and T. Pinkney and M. Rubbini and C. Vaizey and L. Magill and R. Perry and N. Sheward and {N{\o}rmark Mortensen}, Rikke and Alaa El-Hussuna and M. Cillo and D. Estefania and {Patron Uriburu}, J. and H. Ruiz and M. Salomon and A. Makhmudov and L. Selnyahina and A. Varabei and Y. Vizhynis and D. Claeys and B. Defoort and F. Muysoms and P. Pletinckx and V. Vergucht and I. Debergh and T. Feryn and H. Reusens and M. Nachtergaele and D. Francart and C. Jehaes and S. Markiewicz and B. Monami and J. Weerts and W. Bouckaert and B. Houben and J. Knol and G. Sergeant and G. Vangertruyden and L. Haeck and C. Lange and C. Sommeling and K. Vindevoghel and S. Castro and {De Bruyn}, H. and M. Huyghe and {De Wolf}, E. and D. Reynders and A. D'Hoore and {de Buck van Overstraeten}, A. and A. Wolthuis and S. Delibegovic and A. Christiani and M. Marchiori and {Rocha de Moraes}, C. and V. Tercioti and E. Arabadjieva and D. Bulanov and D. Dardanov and V. Stoyanov and A. Yonkov and K. Angelov and S. Maslyankov and M. Sokolov and G. Todorov and S. Toshev and Y. Georgiev and A. Karashmalakov and G. Zafirov and X. Wang and D. Condic and D. Kraljik and H. Mrkovic and V. Pavkovic and K. Ragu{\v z} and V. Bencurik and E. Hol{\'a}{\v s}kov{\'a} and M. Skrovina and M. Farka{\v s}ov{\'a} and T. Grolich and Z. Kala and F. Antos and V. Pruchova and O. Sotona and M. Chobola and T. Dusek and A. Ferko",

year = "2018",

month = mar,

day = "1",

doi = "10.1111/codi.13889",

language = "American English",

pages = "219--227",

journal = "Colorectal Disease",

issn = "1462-8910",

publisher = "Wiley-Blackwell Publishing Ltd",

}

El-Hussuna, A, Pinkney, T, Zmora, O, Frasson, M, Bhangu, A, Battersby, N, Chaudhri, S, Nepogodiev, D, Singh, B, Vennix, S, Altomare, D, Bemelman, W, Christensen, P, D'Hoore, A, Laurberg, S, Morton, D, Pinkney, T, Rubbini, M, Vaizey, C, Magill, L, Perry, R, Sheward, N, Nørmark Mortensen, R, El-Hussuna, A, Cillo, M, Estefania, D, Patron Uriburu, J, Ruiz, H, Salomon, M, Makhmudov, A, Selnyahina, L, Varabei, A, Vizhynis, Y, Claeys, D, Defoort, B, Muysoms, F, Pletinckx, P, Vergucht, V, Debergh, I, Feryn, T, Reusens, H, Nachtergaele, M, Francart, D, Jehaes, C, Markiewicz, S, Monami, B, Weerts, J, Bouckaert, W, Houben, B, Knol, J, Sergeant, G, Vangertruyden, G, Haeck, L, Lange, C, Sommeling, C, Vindevoghel, K, Castro, S, De Bruyn, H, Huyghe, M, De Wolf, E, Reynders, D, D'Hoore, A, de Buck van Overstraeten, A, Wolthuis, A, Delibegovic, S, Christiani, A, Marchiori, M, Rocha de Moraes, C, Tercioti, V, Arabadjieva, E, Bulanov, D, Dardanov, D, Stoyanov, V, Yonkov, A, Angelov, K, Maslyankov, S, Sokolov, M, Todorov, G, Toshev, S, Georgiev, Y, Karashmalakov, A, Zafirov, G, Wang, X, Condic, D, Kraljik, D, Mrkovic, H, Pavkovic, V, Raguž, K, Bencurik, V, Holášková, E, Skrovina, M, Farkašová, M, Grolich, T, Kala, Z, Antos, F, Pruchova, V, Sotona, O, Chobola, M, Dusek, T & Ferko, A 2018, 'Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO', Colorectal Disease, pp. 219-227. https://doi.org/10.1111/codi.13889

Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO. / El-Hussuna, A.; Pinkney, T.; Zmora, O.; Frasson, M.; Bhangu, A.; Battersby, N.; Chaudhri, S.; Nepogodiev, D.; Singh, B.; Vennix, S.; Altomare, D.; Bemelman, W.; Christensen, P.; D'Hoore, A.; Laurberg, S.; Morton, D.; Pinkney, T.; Rubbini, M.; Vaizey, C.; Magill, L.; Perry, R.; Sheward, N.; Nørmark Mortensen, Rikke; El-Hussuna, Alaa; Cillo, M.; Estefania, D.; Patron Uriburu, J.; Ruiz, H.; Salomon, M.; Makhmudov, A.; Selnyahina, L.; Varabei, A.; Vizhynis, Y.; Claeys, D.; Defoort, B.; Muysoms, F.; Pletinckx, P.; Vergucht, V.; Debergh, I.; Feryn, T.; Reusens, H.; Nachtergaele, M.; Francart, D.; Jehaes, C.; Markiewicz, S.; Monami, B.; Weerts, J.; Bouckaert, W.; Houben, B.; Knol, J.; Sergeant, G.; Vangertruyden, G.; Haeck, L.; Lange, C.; Sommeling, C.; Vindevoghel, K.; Castro, S.; De Bruyn, H.; Huyghe, M.; De Wolf, E.; Reynders, D.; D'Hoore, A.; de Buck van Overstraeten, A.; Wolthuis, A.; Delibegovic, S.; Christiani, A.; Marchiori, M.; Rocha de Moraes, C.; Tercioti, V.; Arabadjieva, E.; Bulanov, D.; Dardanov, D.; Stoyanov, V.; Yonkov, A.; Angelov, K.; Maslyankov, S.; Sokolov, M.; Todorov, G.; Toshev, S.; Georgiev, Y.; Karashmalakov, A.; Zafirov, G.; Wang, X.; Condic, D.; Kraljik, D.; Mrkovic, H.; Pavkovic, V.; Raguž, K.; Bencurik, V.; Holášková, E.; Skrovina, M.; Farkašová, M.; Grolich, T.; Kala, Z.; Antos, F.; Pruchova, V.; Sotona, O.; Chobola, M.; Dusek, T.; Ferko, A.

In: Colorectal Disease, 01.03.2018, p. 219-227.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO

AU - El-Hussuna, A.

AU - Pinkney, T.

AU - Zmora, O.

AU - Frasson, M.

AU - Bhangu, A.

AU - Battersby, N.

AU - Chaudhri, S.

AU - Nepogodiev, D.

AU - Singh, B.

AU - Vennix, S.

AU - Altomare, D.

AU - Bemelman, W.

AU - Christensen, P.

AU - D'Hoore, A.

AU - Laurberg, S.

AU - Morton, D.

AU - Pinkney, T.

AU - Rubbini, M.

AU - Vaizey, C.

AU - Magill, L.

AU - Perry, R.

AU - Sheward, N.

AU - Nørmark Mortensen, Rikke

AU - El-Hussuna, Alaa

AU - Cillo, M.

AU - Estefania, D.

AU - Patron Uriburu, J.

AU - Ruiz, H.

AU - Salomon, M.

AU - Makhmudov, A.

AU - Selnyahina, L.

AU - Varabei, A.

AU - Vizhynis, Y.

AU - Claeys, D.

AU - Defoort, B.

AU - Muysoms, F.

AU - Pletinckx, P.

AU - Vergucht, V.

AU - Debergh, I.

AU - Feryn, T.

AU - Reusens, H.

AU - Nachtergaele, M.

AU - Francart, D.

AU - Jehaes, C.

AU - Markiewicz, S.

AU - Monami, B.

AU - Weerts, J.

AU - Bouckaert, W.

AU - Houben, B.

AU - Knol, J.

AU - Sergeant, G.

AU - Vangertruyden, G.

AU - Haeck, L.

AU - Lange, C.

AU - Sommeling, C.

AU - Vindevoghel, K.

AU - Castro, S.

AU - De Bruyn, H.

AU - Huyghe, M.

AU - De Wolf, E.

AU - Reynders, D.

AU - D'Hoore, A.

AU - de Buck van Overstraeten, A.

AU - Wolthuis, A.

AU - Delibegovic, S.

AU - Christiani, A.

AU - Marchiori, M.

AU - Rocha de Moraes, C.

AU - Tercioti, V.

AU - Arabadjieva, E.

AU - Bulanov, D.

AU - Dardanov, D.

AU - Stoyanov, V.

AU - Yonkov, A.

AU - Angelov, K.

AU - Maslyankov, S.

AU - Sokolov, M.

AU - Todorov, G.

AU - Toshev, S.

AU - Georgiev, Y.

AU - Karashmalakov, A.

AU - Zafirov, G.

AU - Wang, X.

AU - Condic, D.

AU - Kraljik, D.

AU - Mrkovic, H.

AU - Pavkovic, V.

AU - Raguž, K.

AU - Bencurik, V.

AU - Holášková, E.

AU - Skrovina, M.

AU - Farkašová, M.

AU - Grolich, T.

AU - Kala, Z.

AU - Antos, F.

AU - Pruchova, V.

AU - Sotona, O.

AU - Chobola, M.

AU - Dusek, T.

AU - Ferko, A.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Colorectal Disease © 2017 The Association of Coloproctology of Great Britain and Ireland Aim: Patient- and disease-related factors, as well as operation technique, all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. The aim was to investigate the effect of preoperative and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. Method: This was an international prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection. The study analysed a subset of patients who underwent surgery for Crohn's disease. The primary outcome measure was the overall Clavien–Dindo postoperative complication rate. The key secondary outcomes were anastomotic leak, reoperation, surgical site infection and length of stay in hospital. Multivariable binary logistic regression analyses were used to produce odds ratios and 95% confidence intervals. Results: In all, 375 resections in 375 patients were included. The median age was 37 and 57.1% were women. In multivariate analyses, postoperative complications were associated with preoperative parenteral nutrition (OR 2.36, 95% CI 1.10–4.97), urgent/expedited surgical intervention (OR 2.00, 95% CI 1.13–3.55) and unplanned intra-operative adverse events (OR 2.30, 95% CI 1.20–4.45). The postoperative length of stay in hospital was prolonged in patients who received preoperative parenteral nutrition (OR 31, 95% CI 1.08–1.61) and those who had urgent/expedited operations (OR 1.21, 95% CI 1.07–1.37). Conclusion: Preoperative parenteral nutritional support, urgent/expedited operation and unplanned intra-operative adverse events were associated with unfavourable postoperative outcome. Enhanced preoperative optimization and improved planning of operation pathways and timings may improve outcomes for patients.

AB - Colorectal Disease © 2017 The Association of Coloproctology of Great Britain and Ireland Aim: Patient- and disease-related factors, as well as operation technique, all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. The aim was to investigate the effect of preoperative and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. Method: This was an international prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection. The study analysed a subset of patients who underwent surgery for Crohn's disease. The primary outcome measure was the overall Clavien–Dindo postoperative complication rate. The key secondary outcomes were anastomotic leak, reoperation, surgical site infection and length of stay in hospital. Multivariable binary logistic regression analyses were used to produce odds ratios and 95% confidence intervals. Results: In all, 375 resections in 375 patients were included. The median age was 37 and 57.1% were women. In multivariate analyses, postoperative complications were associated with preoperative parenteral nutrition (OR 2.36, 95% CI 1.10–4.97), urgent/expedited surgical intervention (OR 2.00, 95% CI 1.13–3.55) and unplanned intra-operative adverse events (OR 2.30, 95% CI 1.20–4.45). The postoperative length of stay in hospital was prolonged in patients who received preoperative parenteral nutrition (OR 31, 95% CI 1.08–1.61) and those who had urgent/expedited operations (OR 1.21, 95% CI 1.07–1.37). Conclusion: Preoperative parenteral nutritional support, urgent/expedited operation and unplanned intra-operative adverse events were associated with unfavourable postoperative outcome. Enhanced preoperative optimization and improved planning of operation pathways and timings may improve outcomes for patients.

U2 - 10.1111/codi.13889

DO - 10.1111/codi.13889

M3 - Article

C2 - 28913968

SP - 219

EP - 227

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

ER -

Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO

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