Predictors for short bowel syndrome in Crohn's disease

Simon Vaillant, Lucas Guillo, Niasha Michot, Ferdinando D'Amico, Adeline Germain, Silvio Danese, Cédric Baumann, Hélène Rousseau, Didier Quilliot, Laurent Peyrin-Biroulet

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND AND AIM: Patients with Crohn's disease (CD) are at risk for short bowel syndrome (SBS). We investigated independent predictors for SBS in these patients to allow the development of preventive strategies.

METHODS: All adult patients seen at the Nancy University hospital for CD or SBS between 2012 and 2019 were eligible for inclusion in this case-control study. Each CD patient with SBS was matched to 9 controls.

RESULTS: 410 CD patients were included (369 without SBS and 41 with SBS). Subjects with SBS underwent significantly more bowel resections (median value of 3 vs 1, p<0.0001) and median time before the first surgery was not different than controls (6 vs 4 years, p=0.59). A higher need for parenteral support was found in end-jejunostomy SBS than in jejunocolic and jejunoileal SBS (70.6% vs 25% and 0%, p=0.0031). Montreal B1 behavior (OR 0.02, CI 95% 0-0.08) and budesonide treated-patients (OR=0.03, CI 95% 0.003-0.2) were at lower risk of SBS, while IV steroid treated-patients were at higher risk (OR=8.5, CI 95% 3.0-24.9).

CONCLUSION: Montreal B1 behavior, IV steroids and budesonide use are influencing predictors for this complication. These predictors should be assessed in daily clinical practice to prevent SBS occurrence.

Original languageEnglish
Pages (from-to)1455-1460
Number of pages6
JournalDig. Liver Dis.
Volume52
Issue number12
DOIs
Publication statusPublished - Dec 2020

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