Perioperative blood transfusion and clinical recurrence in Crohn's disease

T. D. Poulsen*, K. J. Thornberg, M. B. Olesen, E. Langholz, P. Munkholm, O. O. Thomsen

*Corresponding author af dette arbejde

Abstract

Objective: The aim of this study was to investigate the influence of perioperative blood transfusion on the subsequent course of Crohn's disease. Design: Retrospective investigation of 158 consecutive patients with Crohn's disease diagnosed between 1962 and 1982. The patients were followed until 1988 with a median follow-up time of 5.8 years (range 0-23). Methods: Actuarial analysis of outcome was performed. Groups were compared by log-rank test and Mann-Whitney test. Results: Forty-eight patients had at least one blood transfusion from 30 days before, to 30 days post-surgical intervention. The cumulative risk of recurrence within 5 years after the first resection was 43% [95% confidence limits (CI) 29-56] in patients receiving transfusion and 33% (95% CI 14-52) in the non-transfused group of patients (NS). Conclusion: The results of this study do not support the hypothesis that perioperative blood transfusion in patients who undergo surgery for Crohn's disease prevents relapse.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Gastroenterology and Hepatology
Vol/bind5
Udgave nummer10
Sider (fra-til)835-838
Antal sider4
ISSN0954-691X
StatusUdgivet - 1 jan. 1993

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