Crohn ’s versus cancer – comparison of functional and surgical outcomes after right-sided resections

The objective of this study was to compare functional and surgical outcomes of patients undergoing ileocecal resection for Crohn ’s disease (CD) to patients undergoing oncological right colectomy. Methods Retrospective single center cohort study including consecutive patients undergoing right colectomy for adenocarcinoma (oncological resection) or CD (mesentery-sparing resection) between July 2011 and November 2017. Outcom e measures were pathological details (lymph node yield), postoperative recovery (pain levels, return to flatus and stool, intake of fluids, weight change and mobilization), and early (30-day) outcomes (surgical/medical complications, hospital stay, readmissions). Results A total of 195 patients (15 3 (78%) with cancer and 42 (22%) with CD) were included. Overall compliance with the institutional enhanced recovery protocol was comparable between the two groups (compliance ≥70%: 60% in CD patients vs. 62% in cancer, p=0.458). The adenocarcinoma group had a larger lymph node yield than the CD g roup (26±13 vs. 2.4±5 respectively, p
Source: Digestive Diseases - Category: Gastroenterology Source Type: research