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Surgery Today
Published in: Surgery Today 11/2015

01-11-2015 | Original Article

A preoperative low nutritional prognostic index correlates with the incidence of incisional surgical site infections after bowel resection in patients with Crohn’s disease

Authors: Kiyoshi Maeda, Hisashi Nagahara, Masatsune Shibutani, Hiroshi Otani, Katsunobu Sakurai, Takahiro Toyokawa, Hiroaki Tanaka, Naoshi Kubo, Kazuya Muguruma, Noriko Kamata, Hirokazu Yamagami, Kosei Hirakawa

Published in: Surgery Today | Issue 11/2015

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Abstract

Purpose

The incidence of incisional surgical site infections (SSIs) is reported to be higher among patients with Crohn’s disease (CD) than among those with colorectal cancer. It has also been reported that the preoperative nutritional and inflammatory status is associated with the frequency of postoperative complications. Onodera’s prognostic nutritional index (OPNI) is a simple and useful parameter for determining the nutritional and inflammatory status. In the present study, we retrospectively investigated the correlation between the OPNI and the incidence of incisional SSI in patients with CD who had undergone bowel resection.

Methods

A total of 177 CD patients who underwent abdominal surgery were enrolled. Various clinical factors and the OPNI values were evaluated to identify risk factors for incisional SSIs.

Results

The incidence of incisional SSIs was 19.8 %. A multivariate analysis indicated that the OPNI was an independent risk factor for incisional SSIs.

Conclusions

The results of this retrospective study suggest that the OPNI is an independent risk factor for incisional SSIs in patients with a history of bowel resection for CD.
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Metadata
Title
A preoperative low nutritional prognostic index correlates with the incidence of incisional surgical site infections after bowel resection in patients with Crohn’s disease
Authors
Kiyoshi Maeda
Hisashi Nagahara
Masatsune Shibutani
Hiroshi Otani
Katsunobu Sakurai
Takahiro Toyokawa
Hiroaki Tanaka
Naoshi Kubo
Kazuya Muguruma
Noriko Kamata
Hirokazu Yamagami
Kosei Hirakawa
Publication date
01-11-2015
Publisher
Springer Japan
Published in
Surgery Today / Issue 11/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-014-1044-8

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