Surgery for inflammatory bowel disease in Spain: How are we doing? Initial results of a nationwide prospective registry.

Autors de IIS La Fe

• Luis Sanchez Guillen

  Autor

• Mónica Millán Scheiding

  Autor

Autors aliens a IIS La Fe

• Blanco-Antona, F
• Soler-Silva, A
• en nombre del Grupo Colaborativo Registro REIC (Registro de Enfermedad
• Inflamatoria y Cirugia)

Grups d'Investigació

• Cirugía digestiva y Cuidados perioperatorios

  

  Leader

  Matteo Frasson

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.

Copyright © 2023. Published by Elsevier España, S.L.U.

Keywords

• Colitis; Crohn; Crohn’s; Enfermedad inflamatoria intestinal; Inflammatory bowel disease; Perianal; Registro; Registry