metricas
covid
Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Surgery for inflammatory bowel disease in Spain: How are we doing? Initial resul...
Journal Information
Vol. 102. Issue 7.
Pages 355-363 (July 2024)
Share
Share
Download PDF
More article options
Visits
1
Vol. 102. Issue 7.
Pages 355-363 (July 2024)
Original article
Surgery for inflammatory bowel disease in Spain: How are we doing? Initial results of a nationwide prospective registry
Cirugía de la Enfermedad Inflamatoria Intestinal en España: ¿cómo lo estamos haciendo? Resultados iniciales de un registro prospectivo nacional (Registro REIC)
Visits
1
L. Sánchez-Guilléna, F. Blanco-Antonab,
Corresponding author
fblancoa@saludcastillayleon.es

Corresponding author.
, Á. Soler-Silvaa, M. Millánc, en nombre del Grupo Colabora Registro REIC (Registro de Enfermedad Inflamatoria y Cirugía)
a Servicio de Cirugía General y del Ap. Digestivo, Unidad de Coloproctología, Hospital General Universitario de Elche, Universidad Miguel Hernández de Elche, Alicante, Spain
b Servicio de Cirugía General y del Ap. Digestivo, Unidad de Coloproctología, Hospital Clínico Universitario de Salamanca, Universidad de Salamanca, Salamanca, Spain
c Servicio de Cirugía General y del Ap. Digestivo, Unidad de Coloproctología, Hospital Universitari i Politècnic La Fe, Universidad de Valencia, Valencia, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (3)
Show moreShow less
Tables (3)
Table 1. Characteristics of patients registered according to IBD type.
Table 2. Classification of surgeries performed in patients with IBD in the Spanish registry, classified by complexity and hospital volume.
Table 3. Complication in abdominal surgery by type of complexity and hospital volume.
Show moreShow less
Abstract
Introduction

Inflammatory bowel disease (IBD), which includes Crohn’s disease (CD) and ulcerative colitis (UC), requires a multidisciplinary approach, and surgery is commonly needed. The aim of this study was to evaluate the types of surgery performed in these patients in a nationwide study by hospital type, global postoperative complications, and quality of life after surgery.

Methods

A prospective, multicenter, national observational study was designed to collect the results of surgical treatment of IBD in Spain. Demographic characteristics, medical-surgical treatments, postoperative complications and quality of life were recorded with a one-year follow-up. Data were validated and entered by a surgeon from each institution.

Results

A total of 1134 patients (77 centers) were included: 888 CD, 229 UC, and 17 indeterminate colitis. 1169 surgeries were recorded: 882 abdominal and 287 perianal. Before surgery, 81.6% of the patients were evaluated by a multidisciplinary committee, and the mean preoperative waiting time for elective surgery was 2.09 ± 2 meses (P > .05). Overall morbidity after one year of follow-up was 16%, and the major complication rate was 36.4%. Significant differences were observed among centers in complex CD surgeries. Overall quality of life improved after surgery.

Conclusions

There is heterogeneity in the surgical treatment of IBD among Spanish centers. Differences were observed in patients with highly complex surgeries. Overall quality of life improved with surgical treatment.

Keywords:
Inflammatory bowel disease
Crohn’s
Colitis
Perianal
Registry
Resumen
Introducción

La cirugía constituye un pilar fundamental en el tratamiento de la enfermedad inflamatoria intestinal (EII), que engloba la Enfermedad de Crohn (EC) y la Colitis Ulcerosa (CU). El objetivo de este trabajo fue estudiar los tipos de cirugía realizados en estos pacientes, según tipo de hospital, las complicaciones postoperatorias globales y calidad de vida después de la cirugía.

Materiales y métodos

Se realizó un estudio, prospectivo, multicéntrico y observacional a nivel nacional para recoger los resultados del tratamiento quirúrgico de la EII. Se registraron características del hospital, y demográficas, tratamientos médico-quirúrgicos, complicaciones postoperatorias y calidad de vida de los pacientes intervenidos con un seguimiento anual. Los datos fueron validados e introducidos por un cirujano de cada institución.

Resultados

Se incluyeron un total de 1134 pacientes (77 centros): 888 EC, 229 CU y 17 colitis indeterminada. Se registraron 1169 cirugías: 882 abdominales y 287 perianales. El 81,6% de los pacientes fueron evaluados por un comité multidisciplinar antes de la intervención y la media del tiempo de espera prequirúrgico, en cirugía electiva, fue de 2,09 +/- 2 meses (p > 0.05), entre tipos de centro. La morbilidad anual global fue del 16%, con un 36,4% de complicaciones mayores, objetivandose diferencias entre centros en cirugías complejas de EC. Se observó una mejora de la calidad de vida de forma global tras la cirugía.

Conclusiones

Existe heterogeneidad en el tratamiento quirúrgico de la EII entre los centros españoles, objetivandose diferencias en la tasa de complicaciones en pacientes con cirugías de alta complejidad. La calidad de vida mejoró de forma global con el tratamiento quirúrgico.

Palabras clave:
Enfermedad inflamatoria intestinal
Crohn
Colitis
Perianal
Registro

Article

These are the options to access the full texts of the publication Cirugía Española (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Cirugía Española (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos