Mo1584 Why Is Your Patient With Crohn's Disease Still Smoking? Impact of Smoking on Surgical Outcomes

Abstract

S A T A b st ra ct s the rectum in the low pelvis (n=1) and associated hiatal hernia with transverse colon being prolapsed (n=1). In 5 patients, a mini laparotomy was needed for fistula management: one patient tolerated the pneumoperitoneum poorly, in 3 patients the fistula was difficult to dissect laparoscopically and in one patient a large phlegmon was present. The conversion rate was 9 % (3/35) for the bladder fistulas and 0% for the vaginal fistulas, there were no major intraoperative complication, no postoperative anastomotic leaks or bleeding and no mortality. There were 9 minor complications (21%), including postoperative ileus (n=4), wound infection (n=1), urinary tract infection (n=3) and deep venous thrombosis (n=1). Conclusion: Laparoscopic surgery of sigmoid diverticulitis complicated by entero-vesical and -vaginal fistula is feasible and safe; this approach offers short hospitalization like in uncomplicated cases and favorable short term outcome