Predictive value of 4th post-operative-day CRP in the early detection of complications after laparoscopic bowel resection for endometriosis - Université de Lille Accéder directement au contenu
Article Dans Une Revue Journal of Gynecology Obstetrics and Human Reproduction Année : 2021

Predictive value of 4th post-operative-day CRP in the early detection of complications after laparoscopic bowel resection for endometriosis

Résumé

Objective Post-operative CRP on postoperative day 4 (POD) is used for the early detection of complications after colorectal surgery for cancer, but there is no evidence yet that justifies the use of this marker for bowel resection in case of endometriosis. Study design We retrospectively included 66 consecutive patients who underwent bowel resection for endometriosis (stage 4) in Lille university hospital, France, from August 1, 2015 until January 31, 2017. The composite endpoint of our study included anastomotic leakages, infectious or thrombo-embolic complications, hematomas, bowel stenosis, rectorrhagia, voiding dysfunction, and rehospitalization for related symptoms. Results CRP on POD 4 presents a satisfying area under the curve of 0.85, for the composite endpoint. A CRP cut off value of 56 mg/L yielded a sensitivity of 0.61 (IC95%: 0.36 to 0.83) and a specificity of 0.98 (IC95%: 0.89 to 1). The negative and positive predictive values were 0.87 and 0.92. Conclusion The negative predictive value of the CRP on POD 4 after bowel resection for endometriosis is a useful early indicator for detecting a complication. Therefore, this biomarker might be safely used as an additional criterion for a safe discharge from hospital after colorectal resection in endometriosis.
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Dates et versions

hal-04502479 , version 1 (13-03-2024)

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O. Pécheux, P. Dilé, Yohan Kerbage, Guillaume Piessen, Valerie Deken, et al.. Predictive value of 4th post-operative-day CRP in the early detection of complications after laparoscopic bowel resection for endometriosis. Journal of Gynecology Obstetrics and Human Reproduction, 2021, Journal of Gynecology Obstetrics and Human Reproduction, 50 (9), pp.102148. ⟨10.1016/j.jogoh.2021.102148⟩. ⟨hal-04502479⟩
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