Objectives: Crohn's disease (CD) is a chronic inflammatory condition that affects the entire gastrointestinal tract. Surgery is not curative and first-line treatment modality for patients with CD, but 75% of the patients require surgery. There are mainly four surgical options with different outcomes and recurrence rates. We aimed to investigate the postoperative results of different surgical interventions used to treat CD and their association with treatment modalities.
Methods: A retrospective study was performed through the analysis of patients treated with surgery involving bowel resection. A total of 76 patients were included and classified into four groups according to the type of surgery they underwent: segmental colectomy, total colectomy, segmental small intestinal resection or stricturoplasty, and ileocecal resection.
Results: 76 patients underwent a bowel resection for complicated CD. There was no significant difference in the rates of morbidity and mortality among the four surgical procedure groups. Regarding hospital stay and ICU stay, there was a statistically significant difference (p=0.03) among the groups, especially in the Total proctocolectomy (TPC) TPC group. There was no statistically significant difference in the mortality and morbidity rates between the surgery groups. Likewise, we did not find any statistical difference between laparoscopy and open resection or emergency and scheduled surgery.
Conclusion: We found that patients who undergo TPC for Crohns colitis exhibit a significantly longer length of hospital stay than those who undergo other surgical procedures, but there was no statistical significant difference in mortality and morbidity among the groups.