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International Journal of Colorectal Disease

, Volume 32, Issue 4, pp 591–594 | Cite as

The outcomes and risk factors of early reoperation after initial intestinal resective surgery in patients with intestinal Behçet’s disease

  • Yong Eun Park
  • Jae Hee CheonEmail author
  • Jihye Park
  • Ji Hoon Lee
  • Hyun Jung Lee
  • Soo Jung Park
  • Tae Il Kim
  • Won Ho Kim
Rapid Communication

Abstract

Purpose

Patients with intestinal Behçet’s disease who underwent intestinal resective surgery often require reoperation. However, there have been no studies on the risk factors and outcomes of early reoperation in these patients.

Methods

We retrospectively evaluated 41 patients with intestinal Behçet’s disease who received repeated intestinal resective surgeries between 2006 and 2016. We analyzed two different patient groups—those who required early reoperation within 6 months and those who underwent reoperation >6 months after the initial surgery—and determined the risk factors for early reoperation.

Results

Eleven patients (26.8%) underwent reoperation within 6 months and 30 patients (73.2%) after 6 months. Emergency surgery at the initial operation and higher initial perioperative erythrocyte sedimentation rate and C-reactive protein levels were significantly associated with early reoperation in the univariate analysis. After the multivariate analysis, initial emergency operation (P = 0.020; hazard ratio [HR], 42.625; 95% confidence interval [CI], 1.817–1000.088) and high erythrocyte sedimentation rate (P = 0.039; HR, 1.049; 95% CI, 1.002–1.097) were determined to be the independent factors for early reoperation.

Conclusions

Emergency surgery and high perioperative erythrocyte sedimentation rate levels were the prognostic factors for early reoperation (within 6 months) in patients with intestinal Behçet’s disease after initial bowel resective surgery.

Keywords

Intestinal Behçet’s disease Reoperation Prognostic factor 

Notes

Author contributions

Guarantor of the article: Jae Hee Cheon

Specific author contributions: Yong Eun Park: acquisition of data; analysis and interpretation of data; drafting of the manuscript. Ji Hoon Lee: study concept and design; critical revision of the manuscript for important intellectual content. Jihye Park: study concept and design; critical revision of the manuscript for important intellectual content. Hyun Jung Lee: study concept and design; critical revision of the manuscript for important intellectual content. Soo Jung Park: study concept and design; critical revision of the manuscript for important intellectual content. Tae Il Kim: study concept and design; critical revision of the manuscript for important intellectual content. Won Ho Kim: study concept and design; critical revision of the manuscript for important intellectual content. Jae Hee Cheon: acquisition of data; study concept and design; critical revision of the manuscript for important intellectual content. All authors approved the final version of the article, including the authorship list.

Compliance with ethical standards

This study was approved by the Institutional Review Board of Severance Hospital, Seoul, Korea.

Source of funding

This research was supported by two grants (A120176 and HI13C1345) from the Korean Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), which is funded by the Ministry of Health and Welfare, Republic of Korea; two grants (NRF-2013R1A2A2A01067123 and NRF-2014R1A1A1008096) from the Basic Science Research Program through the National Research Foundation of Korea, which is funded by the Ministry of Science, ICT and Future Planning; a faculty research grant (2012-31-0477) from the Department of Internal Medicine, Yonsei University, College of Medicine.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Yong Eun Park
    • 1
  • Jae Hee Cheon
    • 1
    • 2
    Email author
  • Jihye Park
    • 1
  • Ji Hoon Lee
    • 1
  • Hyun Jung Lee
    • 1
    • 2
  • Soo Jung Park
    • 1
    • 2
  • Tae Il Kim
    • 1
    • 2
  • Won Ho Kim
    • 1
    • 2
  1. 1.Department of Internal MedicineYonsei University College of MedicineSeoulSouth Korea
  2. 2.Institute of GastroenterologyYonsei University College of MedicineSeoulSouth Korea

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