Publications by authors named "A S Maroli"
Objectives: Crohn's perianal fistula represents a challenging condition to treat. Sphincters-preserving surgical techniques are increasingly being adopted as repeated surgical procedures may lead to various degrees of incontinence. This prospective study aims to assess the long-term efficacy of collagen paste application in patients with simple and complex Crohn's perianal fistulas.
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- A study was conducted to evaluate the effectiveness of a no-drain policy after low anterior resection (LAR) for rectal cancer, comparing outcomes before and after its implementation.
- Two groups were analyzed: patients before 2017 who used anastomotic drains (DP group) and those after 2017 who did not (NDP group), with no significant differences in anastomotic leak rates between the groups.
- The no-drain policy was well adopted, with use of drains dropping from 76.2% to 16.5% three years post-implementation, while maintaining similar postoperative outcomes and management of leaks.
Aim: Recent evidence challenges the current standard of offering surgery to patients with ileocaecal Crohn's disease (CD) only when they present complications of the disease. The aim of this study was to compare short-term results of patients who underwent primary ileocaecal resection for either inflammatory (luminal disease, earlier in the disease course) or complicated phenotypes, hypothesizing that the latter would be associated with worse postoperative outcomes.
Method: A retrospective, multicentre comparative analysis was performed including patients operated on for primary ileocaecal CD at 12 referral centres.
Background: Surgical management for patients with inflammatory ileocecal Crohn's disease (CD) could be a reasonable alternative to second-line medical treatment.
Aim: To assess short and long-term outcomes of patients operated on for inflammatory, ileocecal Crohn's disease.
Methods: A retrospective analysis of patients intervened at four referral hospitals during 2012-2021 was performed.