Surgical Management of Crohn’s Disease in Australia and New Zealand
Author Information
Author(s): Sophie Zheng, Aleksandra Edmundson, David A. Clark
Primary Institution: Royal Brisbane and Women’s Hospital, University of Queensland
Hypothesis
What are the current practices and preferences of colorectal surgeons in Australia and New Zealand regarding the surgical management of Crohn’s disease?
Conclusion
Colorectal surgeons in Australia and New Zealand predominantly prefer laparoscopic surgery with a midline peri-umbilical extraction site, but there is a lack of consensus on anastomotic configuration.
Supporting Evidence
- 93% of surgeons preferred laparoscopic surgery.
- 75% preferred to resect at the proximal junction of abnormal mesentery.
- 47% preferred the stapled side-to-side anastomosis.
Takeaway
Surgeons in Australia and New Zealand mostly use minimally invasive techniques to operate on Crohn's disease, but they don't all agree on the best way to connect the intestines afterward.
Methodology
A cross-sectional survey was conducted among colorectal surgical consultants and fellows in Australia and New Zealand.
Potential Biases
Potential bias due to low response rate and incomplete surveys.
Limitations
The survey response rate was low at 39.9%, and the survey was not validated.
Participant Demographics
{"gender_distribution":{"male":84,"female":16},"consultant_vs_fellow":{"consultants":83,"fellows":17}}
Statistical Information
P-Value
<0.0001
Confidence Interval
0.23–4.46
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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