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Commentary| Volume 53, ISSUE 1, P52-53, January 2021

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Postoperative mortality after surgery for inflammatory bowel disease: The myth of Apollo and Artemis

  • Konstantinos H. Katsanos
    Correspondence
    Corresponding author.
    Affiliations
    Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Ioannina School of Health Sciences, 45110 Ioannina, Greece
    Search for articles by this author
  • Author Footnotes
    † Chair, Surgeons of the European Crohn's and Colitis organizationPresident, Swiss Peritoneal Cancer GroupPast president, Swiss association for Minimally Invasive SurgeryEducation & Training, European Association for Endoscopic Surgery.
    Michel Adamina
    Footnotes
    † Chair, Surgeons of the European Crohn's and Colitis organization
    † President, Swiss Peritoneal Cancer Group
    † Past president, Swiss association for Minimally Invasive Surgery
    † Education & Training, European Association for Endoscopic Surgery.
    Affiliations
    Faculty of Medicine, University of Basel, Chief of Colorectal Surgery, Cantonal Hospital of Winterthur, 8401 Winterthur, Switzerland
    Search for articles by this author
  • Author Footnotes
    † Chair, Surgeons of the European Crohn's and Colitis organizationPresident, Swiss Peritoneal Cancer GroupPast president, Swiss association for Minimally Invasive SurgeryEducation & Training, European Association for Endoscopic Surgery.
Published:November 11, 2020DOI:https://doi.org/10.1016/j.dld.2020.10.019
      In this issue Domènech et al. [
      • Guasch M.
      • Domènech E.
      • Vela E.
      • et al.
      Postoperative mortality after surgery for inflammatory bowel disease in the era of biological agents: a population-based study in Southern Europe.
      ] investigated postoperative mortality after surgery for patients with inflammatory bowel disease (IBD) at the population level in Catalonia, Spain over 10 years (2007–2016). Hence, those data reflect contemporary care and include the liberal use of biological therapy. A multidisciplinary approach remains a mainstay of therapy in IBD. Surgical outcomes matter, as nearly every second patient with Crohn's disease (CD) requires surgical care, respectively every tenth patient with ulcerative colitis (UC) [
      • Torres J.
      • Bonovas S.
      • Doherty G.
      • et al.
      ECCO guidelines on therapeutics in crohn's disease: medical treatment.
      ,
      • Adamina M.
      • Bonovas S.
      • Raine T.
      • et al.
      Ecco guidelines on therapeutics in crohn's disease: surgical treatment.
      , in spite of the efficacy and availability of modern medical therapy. In this context, postoperative in-hospital and 30-day mortality rates represent important and objective parameters to evaluate and compare the quality of care delivered in centres caring for IBD patients.

      Keywords

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