Cirugía de la enfermedad inflamatoria intestinal en España: ¿cómo lo estamos haciendo? Resultados iniciales de un registro prospectivo nacional (Registro REIC)

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2024-07-01 DOI:10.1016/j.ciresp.2023.08.001

L. Sánchez-Guillén , F. Blanco-Antona , Á. Soler-Silva , M. Millán

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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.

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西班牙的炎症性肠病手术：我们做得怎么样？全国前瞻性登记（REIC 登记）的初步结果

导言炎症性肠病（IBD）包括克罗恩病（CD）和溃疡性结肠炎（UC），需要多学科治疗，通常需要手术治疗。本研究的目的是在一项全国性研究中，按医院类型、术后总体并发症和术后生活质量评估这些患者所接受的手术类型。方法：本研究是一项前瞻性、多中心、全国性观察研究，旨在收集西班牙 IBD 手术治疗的结果。研究记录了随访一年的人口统计学特征、内外科治疗、术后并发症和生活质量。数据由各机构的一名外科医生进行验证和输入：结果 77 个中心共纳入 1134 名患者：888 名 CD 患者、229 名 UC 患者和 17 名不确定结肠炎患者。共记录了 1169 例手术：882 例腹部手术和 287 例肛周手术。手术前，81.6%的患者接受了多学科委员会的评估，择期手术的术前平均等待时间为 2.09±2 天（P> .05）。随访一年后的总发病率为 16%，主要并发症发生率为 36.4%。在复杂的 CD 手术方面，各中心之间存在显著差异。结论西班牙各中心在 IBD 手术治疗方面存在差异。结论西班牙各中心在手术治疗 IBD 方面存在差异。手术治疗后总体生活质量有所改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.