{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:51:29Z","timestamp":1771462289779,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gastroenterology Research and Practice"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. There is lack of data analyzing short-term postoperative complications and time from diagnosis to surgery in Crohn\u2019s disease (CD). <jats:italic>Aim<\/jats:italic>. To compare complication rates after elective abdominal operations in CD patients with different durations of disease. <jats:italic>Methods<\/jats:italic>. Retrospective observational study with CD patients who submitted to elective intestinal resections. Patients were allocated in 2 groups according to time to surgery (TS) in less or more than 5 years. Short-term postoperative complications were analyzed and compared between the 2 groups, and binary logistic regression analysis was performed to check for significant variables. <jats:italic>Results<\/jats:italic>. 123 patients were finally included, 77 with TS\u2009&gt;\u20095 years (62.6%) and 46 with TS\u2009&lt;\u20095 years (37.4%). Patients with TS\u2009&gt;\u20095 years had higher rates of overall surgical complications (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.011<\/mml:mn><\/mml:math>), reoperations (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.003<\/mml:mn><\/mml:math>), surgical site infections (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.014<\/mml:mn><\/mml:math>), anastomotic dehiscence (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.021<\/mml:mn><\/mml:math>), abdominal abscesses (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.021<\/mml:mn><\/mml:math>), and overall medical complications (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.019<\/mml:mn><\/mml:math>). On logistic regression, the single significant variable was the confection of stomas (OR: 3.203; 95% CI: 1.011\u201310.151; <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.048<\/mml:mn><\/mml:math>). <jats:italic>Conclusions<\/jats:italic>. Patients with longer time to surgery showed a significant increase in overall medical and surgical postoperative early complications after elective intestinal resections.<\/jats:p>","DOI":"10.1155\/2018\/4703281","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T19:31:55Z","timestamp":1524511915000},"page":"1-6","source":"Crossref","is-referenced-by-count":21,"title":["Long Time from Diagnosis to Surgery May Increase Postoperative Complication Rates in Elective CD Intestinal Resections: An Observational Study"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9632-6691","authenticated-orcid":true,"given":"Paulo Gustavo","family":"Kotze","sequence":"first","affiliation":[{"name":"Colorectal Surgery Unit, Cajuru University Hospital, Pontifical Catholic University of Paran\u00e1 (PUCPR), Curitiba, PR, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8180-6254","authenticated-orcid":true,"given":"Daniela Oliveira","family":"Magro","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, University of Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8088-427X","authenticated-orcid":true,"given":"Carlos Augusto Real","family":"Martinez","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, University of Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Humanitas Research Hospital, Rozzano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"IBD Centre, Yokkaichi Hazu Medical Centre, Yokkaichi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janindra","family":"Warusavitarne","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St. Mark\u2019s Hospital, Harrow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio Saddy Rodrigues","family":"Coy","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, University of Campinas (UNICAMP), Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.21506"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjx061"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-305607"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.21303"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/879491"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13567"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2007.03515.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i43.7701"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000001007"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(17)30248-0"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-0279-5"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00068-9"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2010.78"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2009.187120"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.117"}],"container-title":["Gastroenterology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2018\/4703281.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2018\/4703281.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2018\/4703281.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T19:31:55Z","timestamp":1524511915000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/grp\/2018\/4703281\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":15,"alternative-id":["4703281","4703281"],"URL":"https:\/\/doi.org\/10.1155\/2018\/4703281","relation":{},"ISSN":["1687-6121","1687-630X"],"issn-type":[{"value":"1687-6121","type":"print"},{"value":"1687-630X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}