Calidad de vida en pacientes con enfermedad de Crohn ileocecal posterior a tratamiento quirúrgico

Nicolas Avellaneda; Pablo Muñoz; Mariano Vaingurt; Fernando Vázquez; Analía Potolicchio; Augusto Carrie; Pablo Olivera; Juan Lasa; Silvina Goncalvez; Ezequiel Ferro

doi:10.46768/racp.v32i03.95

Nicolas Avellaneda CEMIC, Nueva Proctologia
Pablo Muñoz Nueva Proctologia https://orcid.org/0000-0002-4887-1580
Mariano Vaingurt Nueva Proctologia https://orcid.org/0000-0002-5273-7878
Fernando Vázquez Nueva Proctologia https://orcid.org/0000-0002-0281-373X
Analía Potolicchio Nueva Proctologia https://orcid.org/0000-0003-0414-8363
Augusto Carrie CEMIC https://orcid.org/0000-0003-4226-7240
Pablo Olivera https://orcid.org/0000-0002-2740-6102
Juan Lasa https://orcid.org/0000-0003-0957-5591
Silvina Goncalvez
Ezequiel Ferro https://orcid.org/0000-0002-5005-5021

DOI: https://doi.org/10.46768/racp.v32i03.95

Keywords: Crohn, Ileocecal Disease, Inflamatory, Surgery, Quality of life, Morbidity

Abstract

Introduction: Ileocecal involvement in Crohn's disease is the most frequent presentation. There is little evidence of the impact of surgical treatment on the quality of life of patients.

Materials and methods:A study retrospective study of a prospectively collected database was carried out including all patients who underwent surgery for Crohn's disease with ileocecal involvement by a single group of surgeons during a period of 30 months. Our primary outcome was the comparison of quality of life before and 4 months after surgical intervention by means of two validated questionnaires (Short Form-36, Inflammatory Bowel Disease Questionnaire). We additionally assessed the morbidity of the procedures.

Results:Nineteen patients who underwent surgery were included in the study. Median age was 34 years (23-72), 16 patients underwent laparoscopic surgery and 2 patients required re operations. Median follow-up was 16 months (4-30). Three patients (16%) presented major complications. Patients showed an average improvement of 46% in the parameters assessed by the SF-36 questionnaire (p<0.0001) and 81 points (p<0.0001) in the values of the IBDQ questionnaire after surgery.

Conclusion:The surgical treatment of Crohn's disease with ileocecal involvement presents good post-operative results and a significant improvement in the quality of life of patients after the procedure.