Abstract:
BACKGROUND AND OBJECTIVE:Whether race affects the natural history of Crohn's disease is a matter of debate. The aim of the current study was to evaluate the differences in surgical outcomes between African-American (AA) and Caucasian (C) Crohn's patients undergoing surgery at a tertiary care referral center. METHODS:With Institutional Review Board approval, the medical records of our institution were queried to identify consecutive AA and C patients who underwent surgery for Crohn's disease from December 1, 2009 to December 15, 2011. A retrospective chart review was performed using electronic medical records. RESULTS:A total of 77 patients were included in this study, including 32 AA (41 %) and 45 C (59 %). No significant differences were seen with respect to age, gender, type of insurance, preoperative exposure to immunosuppressives, body mass index, or smoking history between the two populations (p > 0.05). There was a trend toward lower albumin in AAs (p = 0.09). AA and C patients who underwent their first Crohn's disease (CD)-related surgery had similar lag periods between diagnosis and surgery. No significant differences were seen in location of disease, indication for operation, and need for open laparotomy over laparoscopy. No significant differences were seen in need for a repeat operation within 90 days of the original surgery or major postoperative complications. There was a trend toward higher rate of minor complications in the AA group (p = 0.07). CONCLUSION:No significant differences were noted in the current study in several preoperative variables and surgical outcomes between AA and C.
journal_name
Int J Colorectal Disjournal_title
International journal of colorectal diseaseauthors
Griglione N,Yarandi S,Srinivasan J,Ahearn T,Dhere Tdoi
10.1007/s00384-014-1902-2subject
Has Abstractpub_date
2014-08-01 00:00:00pages
917-22issue
8eissn
0179-1958issn
1432-1262journal_volume
29pub_type
杂志文章abstract:INTRODUCTION:In situ ablation of colorectal liver metastases is frequently assessed for palliative treatment only. The establishment of clinically relevant lesion size and a lack of long-term survival data were regarded as main limitations to using them with curative intention. In contrast to surgical liver resection, ...
journal_title:International journal of colorectal disease
pub_type: 杂志文章
doi:10.1007/s00384-006-0231-5
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journal_title:International journal of colorectal disease
pub_type: 杂志文章,随机对照试验
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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doi:10.1007/s00384-019-03388-x
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abstract:BACKGROUND:Ulcerative colitis (UC) is an intractable colonic disease, and it shows several endoscopic findings. Recently, it was reported that the expression level of mucosal tumor necrosis factor alpha (TNF-α) was useful for predicting patient response to infliximab. However, no data regarding the value of endoscopic ...
journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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journal_title:International journal of colorectal disease
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更新日期:2021-02-01 00:00:00
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journal_title:International journal of colorectal disease
pub_type: 杂志文章
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更新日期:1990-05-01 00:00:00
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journal_title:International journal of colorectal disease
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