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Cited by 297

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Infliximab in Ulcerative Colitis is Associated with an Increased Risk of Postoperative Complications After Restorative Proctocolectomy

Mor, I. J., Vogel, J. D., da Luz Moreira, A., Shen, B., Hammel, J., Remzi, F. H.·2008·Diseases of the Colon & Rectum

Abstract

PURPOSE: Little data exist regarding infliximab use in surgical decision making and postoperative complications in ulcerative colitis. Our goals were to determine the rate of postoperative complications in infliximab-treated ulcerative colitis patients undergoing restorative proctocolectomy and to determine whether three-stage procedures are more often necessary. METHODS: We studied a group of infliximab-treated patients and matched control subjects who underwent two-stage restorative proctocolectomy between 2000 and 2006. Postoperative complications were compared. In addition, the rate of three-stage procedures was compared between all infliximab- and noninfliximab-treated patients. RESULTS: A total of 523 restorative proctocolectomies were performed. In the infliximab group, there were 46 two-stage and 39 three-stage procedures. Covariate-adjusted odds of early complication for the infliximab group was 3.54 times that of controls (P = 0.004; 95 percent confidence interval (CI), 1.51-8.31). The odds of sepsis were 13.8 times greater (P = 0.011; 95 percent CI, 1.82-105) and the odds of late complication were 2.19 times greater (P = 0.08; 95 percent CI, 0.91-5.28) for infliximab. The odds of requirement for three-stage procedures was 2.07 times greater in the infliximab group (P = 0.011; 95 percent CI, 1.18-3.63). CONCLUSIONS: Infliximab increases the risk of postoperative complications after restorative proctocolectomy and has altered the surgical approach to ulcerative colitis. Potential benefits of infliximab should be balanced against these risks.

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Metadata

Authors
Mor, I. J., Vogel, J. D., da Luz Moreira, A., Shen, B., Hammel, J., & Remzi, F. H.
Venue
Diseases of the Colon & Rectum
Published
2008-08
Volume
51
Issue
8
Pages
1202-1210
ISSN
0012-3706 (ISSN-L)
OpenAlex
W1996835391
Cited by
297
References
22
FWCI
12.13
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Infliximab in Ulcerative Colitis is Associated with an Increased Risk of Postoperative Complications After Restorative Proctocolectomy. https://app.cochat.ai/papers/10.1007/s10350-008-9364-7
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Mor, I. J., Vogel, J. D., da Luz Moreira, A., Shen, B., Hammel, J., & Remzi, F. H. (2008). Infliximab in Ulcerative Colitis is Associated with an Increased Risk of Postoperative Complications After Restorative Proctocolectomy. Diseases of the Colon & Rectum. https://doi.org/10.1007/s10350-008-9364-7

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