Pediatrics · Surgery · 3 h ago
Intraoperative factors linked to abscess after pediatric Crohn’s resection
A retrospective single-center study of 78 children undergoing minimally invasive ileocecal resection for Crohn’s disease found postoperative intra-abdominal abscess in 19%. Intraoperative abscess or fistula, complications, and additional procedures were associated with higher odds of abscess, although estimates were imprecise.
- Abscess occurred in 19% of 78 children.
- Intraoperative disease severity and complexity were associated with abscess.
- Estimates were imprecise in this small, single-center study.
Researchers reviewed records of patients younger than 18 years who underwent laparoscopic or robotic ileocecal resection for Crohn’s disease at one center between 2000 and 2023. The primary outcome was intra-abdominal abscess within 30 days after surgery; logistic regression was used to assess associated factors.
Among 78 patients, 19% developed an abscess. In multivariable analysis, abscess or fistula identified during surgery was associated with higher odds of postoperative abscess (OR 34.79; 95% CI 3.25–374.86), as were intraoperative complications (OR 12.83; 95% CI 1.93–84.53) and an additional procedure during resection (OR 83.40; 95% CI 4.63–1503.55). Abscess was also associated with a longer postoperative hospital stay and delayed initiation of medical therapy.
The findings link abscess risk to intraoperative disease severity and surgical complexity, but the wide confidence intervals indicate substantial uncertainty. The retrospective, single-center design and small sample limit the precision and generalizability of these associations; the study does not establish that changing operative decisions would reduce abscess risk.
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Surgical Endoscopy: Risk factors for postoperative intra-abdominal abscess following minimally invasive ileocecal resection in children with Crohn’s disease ↗This is an automated AI-condensed summary that has not yet been reviewed by an editor. Always consult the full item at the original source.