s / International Journal of Surgery 12 (2014) S13eS117 S29 Conclusions: The data shows that higher values of faecal calprotectin correspond to an increased degree of mucosal inflammation. 0602: APER IN A DISTRICT GENERAL HOSPITAL e SHOULD WE BE DOING MORE? Adenike Odeleye, Simran Choudary, Henry Lee, O.A. Lalude, S. Vivekanandan. Princess Alexandra Hospital, London, UK. Introduction: Appropriate surgical management of rectal cancer is crucial to survival. The decision for abdominoperineal excision of rectum (APER) goes against surgical inclinations to engineer an anastomosis with a low anterior resection (LAR). Inappropriately optimistic surgical decisions are known to foster high local recurrence rates and poor overall survival. We aimed to inspect the APER rate and outcomes of patients with rectal cancer in our centre. Methods: A prospectively maintained departmental database was interrogated to determine all patients undergoing AR or APER between 1/1/ 2008-31/12/2010. Recurrence was identified on post-operative CT scans at 2 years. Results: Patients underwent an APER 16% n1⁄414 or AR 84% n1⁄469. The overall average age was 71. Male to Female ratio 1.6:1. One of the LAR patients had local recurrence (1.5%) at 2years whilst there was no evidence of recurrence in the APER group. Distant metastases were identified in 14% of the APER group vs. 5.9% in the LAR group. Nil significant difference in recurrence rates (P-value <0.05). Conclusions: Our centre's APER rate of 16% is favourably comparable to the established literature recommending <30%. The surgical rationale in our unit is supported by the low and comparable risk of recurrence for both LAR and APER at 2 years. 0616: SURGICAL APPROACH TO INFLAMMATORY BOWEL DISEASE IN TAYSIDE, EAST OF SCOTLAND Omar Ashour, Dorin Ziyaie. Ninewells Hospital, Dundee, UK. Introduction: To investigate the surgical approach to IBD in Tayside and to compare it with literature findings. This will hopefully help to elucidate the gold standard operations in the management of IBD and its true extent in practice. Methods: 97 patient notes from Medical-Records were systematically reviewed. A standard template was used to collect certain information, e.g. diagnosis, part of bowel affected, surgical treatment, complications, and functional outcome. Results: The most common type of surgery performed in CD was a right hemicolectomy, RHC (64.9%), followed by a subtotal colectomy, STC (24.6%).Complications such as strictures (18.6%), adhesions (8.1%), perforation (5.4%) and obstruction (5.4%) affected the outcome in RHC, but not STC. With RHC, disease recurrence and re-operation rates were 35.1% and 51.4% respectively compared to 14.2% and 35.7% with STC. UC patients; 92.3% underwent STC-with-end-ileostomy. Following STC, twothirds had either IPAA (64.7%) or TPC (35.3%). Complications with IPAA included pouchitis (36.4%), sepsis (18.2%), pouch failure (16.7%) and haemorrhage (16.7%), whereas an ileostomy only had wound infection (16.7%). Conclusions: Segmental resection in CD has been controversial as it carries a higher recurrence-rate but has all the functional benefits of colonic preservation. STC has higher complication rates compared to RHC from sepsis, wound infection and poor stoma function. Despite complications, IPAA still offered the closest thing to faecal continuity without the use of a stoma bag. 0621: ACTIVATED SYSTEMIC INFLAMMATORY RESPONSE AT DIAGNOSIS REDUCES LYMPH NODE COUNT IN COLONIC CARCINOMA Brenda Murphy, Rory Kennelly, Hamad Yousef, Paul McCormick, Brian Mehigan. Department of Colorectal Surgery, St. James' Hospital,