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- Title
The impact of preoperative total parenteral nutrition on the surgical complications of Crohn's disease: A retrospective cohort study.
- Authors
Traiki, Thamer A. Bin; Alshammari, Sulaiman A.; Aljomah, Nadia A.; Alsalouli, Monirah M.; Altawil, Esraa S.; Abdulla, Maha-Hamadien; Alhassan, Noura S.; Alkhayal, Khayal A.
- Abstract
Background: Crohn's disease (CD) is associated with malnutrition, an independent risk factor for surgical morbidity and mortality in more than 65% of patients, with a significant impact on disease outcomes. In this single-center retrospective cohort study, we aimed to investigate the impact of total parenteral nutrition (TPN) on the surgical outcomes of patients with CD. Methods: This study included patients with CD who underwent abdominal surgery. We compared patients who received preoperative total parenteral nutrition (TPN group) to those who did not (non-TPN group). Prolonged oral intolerance, albumin level <30 g/L, and body mass index <18.5 were the main indications for TPN. We evaluated postoperative surgical complications in both groups. Results: Between January 2010 and October 2018, 169 eligible patients underwent abdominal surgery. The TPN and non-TPN groups included 40 and 129 patients, respectively. The mean albumin level was significantly lower in the TPN group (P = 0.013). Laparoscopic surgery was performed in 76.9% of the patients, with a conversion rate of 11.6%. Infectious and non-infectious complications developed in 8.9% and 16% of patients, respectively. Surgical complications were comparable between the groups (P >0.05). Conclusions: Despite oral intake intolerance and severe disease in the TPN group, the surgical complications were comparable between the groups.
- Subjects
PREVENTION of surgical complications; MORTALITY risk factors; PREOPERATIVE care; CROHN'S disease; EVALUATION of medical care; ALBUMINS; RETROSPECTIVE studies; LAPAROSCOPIC surgery; RISK assessment; COMPARATIVE studies; MALNUTRITION; PARENTERAL feeding; BODY mass index; LONGITUDINAL method
- Publication
Saudi Journal of Gastroenterology, 2023, Vol 29, Issue 3, p158
- ISSN
1319-3767
- Publication type
Article
- DOI
10.4103/sjg.sjg_425_22