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Your search keyword '"Crolla, R.M.P.H. (Rogier)"' showing total 5 results
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5 results on '"Crolla, R.M.P.H. (Rogier)"'

1. Multicentre study of non-surgical management of diverticulitis with abscess formation

Author

Lambrichts, D.P.V. (Daniël), Bolkenstein, H.E., van der Does, D., Dieleman, D., Crolla, R.M.P.H. (Rogier), Dekker, J.W.T. (Jan Willem), Duijvendijk, P. (Peter) van, Gerhards, M.F. (Michael), Nienhuijs, S.W. (Simon), Menon, A.G. (Anand), Graaf, E.J.R. (Eelco) de, Consten, E.C. (Esther), Draaisma, W.A. (Werner), Broeders, I.A.M.J. (Ivo), Bemelman, W.A. (Willem), Lange, J.F. (Johan), Lambrichts, D.P.V. (Daniël), Bolkenstein, H.E., van der Does, D., Dieleman, D., Crolla, R.M.P.H. (Rogier), Dekker, J.W.T. (Jan Willem), Duijvendijk, P. (Peter) van, Gerhards, M.F. (Michael), Nienhuijs, S.W. (Simon), Menon, A.G. (Anand), Graaf, E.J.R. (Eelco) de, Consten, E.C. (Esther), Draaisma, W.A. (Werner), Broeders, I.A.M.J. (Ivo), Bemelman, W.A. (Willem), and Lange, J.F. (Johan)

Abstract

Background: Treatment strategies for diverticulitis with abscess formation have shifted from (emergency) surgical treatment to non-surgical management (antibiotics with or without percutaneous drainage (PCD)). The aim was to assess outcomes of non-surgical treatment and to identify risk factors for adverse outcomes. Methods: Patients with a first episode of CT-diagnosed diverticular abscess (modified Hinchey Ib or II) between January 2008 and January 2015 were included retrospectively, if initially treated non-surgically. Baseline characteristics, short-term (within 30 days) and long-term treatment outcomes were recorded. Treatment failure was a composite outcome of complications (perforation, colonic obstruction and fistula formation), readmissions, persistent diverticulitis, emergency surgery, death, or need for PCD in the no-PCD group. Regression analyses were used to analyse risk factors for treatment failure, recurrences and surgery. Results: Overall, 447 patients from ten hospitals were included (Hinchey Ib 215; Hinchey II 232), with a median follow-up of 72 (i.q.r. 55–93) months. Most patients were treated without PCD (332 of 447, 74⋅3 per cent). Univariable analyses, stratified by Hinchey grade, showed no differences between no PCD and PCD in short-term treatment failure (Hinchey I: 22⋅3 versus 33 per cent, P = 0⋅359; Hinchey II: 25⋅9 versus 36 per cent, P = 0⋅149) or emergency surgery (Hinchey I: 5⋅1 versus 6 per c

Published
2019
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2. Risk factors and outcomes for postoperative delirium after major surgery in elderly patients

Author

Raats, J.W. (Jelle), Van Eijsden, W.A. (Wilbert A.), Crolla, R.M.P.H. (Rogier), Steyerberg, E.W. (Ewout), Laan, L. (Lyckle) van der, Raats, J.W. (Jelle), Van Eijsden, W.A. (Wilbert A.), Crolla, R.M.P.H. (Rogier), Steyerberg, E.W. (Ewout), and Laan, L. (Lyckle) van der

Abstract

Background: Early identification of patients at risk for delirium is important, since adequate well timed interventions could prevent occurrence of delirium and related detrimental outcomes. The aim of this study is to evaluate prognostic factors for delirium, including factors describing frailty, in elderly patients undergoing major surgery. Methods: We included patients of 65 years and older, who underwent elective surgery from March 2013 to November 2014. Patients had surgery for Abdominal Aortic Aneurysm (AAA) or colorectal cancer. Delirium was scored prospectively using the Delirium Observation Screening Scale. Pre- and peri-operative predictors of delirium were analyzed using regression analysis. Outcomes after delirium included adverse events, length of hospital stay, discharge destination and mortality. Results: We included 232 patients. 51 (22%) underwent surgery for AAA and 181 (78%) for colorectal cancer. Postoperative delirium occurred in 35 patients (15%). Predictors of postoperative delirium included: delirium in medical history (Odds Ratio 12 [95% Confidence Interval 2.7-50]), advancing age (Odds Ratio 2.0 [95% Confidence Interval 1.1-3.8]) per 10 years, and ASA-score ≥3 (Odds Ratio 2.6 [95% Confidence Interval 1.1-5.9]). Occurrence of delirium was related to an increase in adverse events, length of hospital stay and mortality. Conclusion: Postoperative delirium is a frequent complication after ma

Published
2015
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3. The ladies trial: Laparoscopic peritoneal lavage or resection for purulent peritonitisA and Hartmann's procedure or resection with primary anastomosis for purulent or faecal peritonitisB in perforated diverticulitis (NTR2037)

Author

Swank, D.J. (Dingeman), Vermeulen, J. (Jefrey), Lange, J.F. (Johan), Mulder, I.M. (Irene), Hoeven, J.A.B. (Joost) van der, Stassen, L.P. (Laurents), Crolla, R.M.P.H. (Rogier), Sosef, M.N. (Meindert), Nienhuijs, S.W. (Simon), Bosker, R.J.I. (Robbert), Boom, M.J. (Maarten), Kruyt, Ph.M. (Philip), Steup, W.H. (Willem Hans), Graaf, E.J.R. (Eelco) de, Weidema, W.F. (Wibo), Pierik, R.E.G.J.M. (Robert), Prins, H.A. (Hubert), Stockmann, H.B.A.C., Tollenaar, R.A.E.M. (Rob), Wagensveld, B.A. (Bart) van, Coene, P-P. (Peter Paul), Slooter, G.D. (Gerrit), Consten, E.C. (Esther), Duijn, E.B. (Eino) van, Gerhards, M.F. (Michael), Hoofwijk, A.G.M. (Anton), Karsten, T.M. (Thomas), Neijenhuis, P.A. (Peter), Blanken-Peeters, C.F.J.M. (Charlotte), Cense, H.A. (Huib), Mannaerts, G.H.H. (Guido), Bruin, S.C. (Sjoerd), Eijsbouts, Q.A. (Quirijn), Wiezer, M.J. (Marinus), Hazebroek, E.J. (Eric Jasper), Geloven, A.A. (Anna) van, Maring, J.K. (John), D'Hoore, A. (André), Kartheuser, A. (Alex), Remue, C. (Christophe), Grevenstein, H.M.U. (Helma) van, Konsten, J.L.M. (Joop), Peet, D.L. (Donald) van der, Govaert, M.J.P.M. (Marc), Engel, A.F. (Alexander), Reitsma, J.B. (Johannes), Bemelman, W.A. (Willem), Swank, D.J. (Dingeman), Vermeulen, J. (Jefrey), Lange, J.F. (Johan), Mulder, I.M. (Irene), Hoeven, J.A.B. (Joost) van der, Stassen, L.P. (Laurents), Crolla, R.M.P.H. (Rogier), Sosef, M.N. (Meindert), Nienhuijs, S.W. (Simon), Bosker, R.J.I. (Robbert), Boom, M.J. (Maarten), Kruyt, Ph.M. (Philip), Steup, W.H. (Willem Hans), Graaf, E.J.R. (Eelco) de, Weidema, W.F. (Wibo), Pierik, R.E.G.J.M. (Robert), Prins, H.A. (Hubert), Stockmann, H.B.A.C., Tollenaar, R.A.E.M. (Rob), Wagensveld, B.A. (Bart) van, Coene, P-P. (Peter Paul), Slooter, G.D. (Gerrit), Consten, E.C. (Esther), Duijn, E.B. (Eino) van, Gerhards, M.F. (Michael), Hoofwijk, A.G.M. (Anton), Karsten, T.M. (Thomas), Neijenhuis, P.A. (Peter), Blanken-Peeters, C.F.J.M. (Charlotte), Cense, H.A. (Huib), Mannaerts, G.H.H. (Guido), Bruin, S.C. (Sjoerd), Eijsbouts, Q.A. (Quirijn), Wiezer, M.J. (Marinus), Hazebroek, E.J. (Eric Jasper), Geloven, A.A. (Anna) van, Maring, J.K. (John), D'Hoore, A. (André), Kartheuser, A. (Alex), Remue, C. (Christophe), Grevenstein, H.M.U. (Helma) van, Konsten, J.L.M. (Joop), Peet, D.L. (Donald) van der, Govaert, M.J.P.M. (Marc), Engel, A.F. (Alexander), Reitsma, J.B. (Johannes), and Bemelman, W.A. (Willem)

Abstract

Background: Recently, excellent results are reported on laparoscopic lavage in patients with purulent perforated diverticulitis as an alternative for sigmoidectomy and ostomy. The objective of this study is to determine whether LaparOscopic LAvage and drainage is a safe and effective treatment for patients with purulent peritonitis (LOLA-arm) and to determine the optimal resectional strategy in patients with a purulent or faecal peritonitis (DIVA-arm: perforated DIVerticulitis: sigmoidresection with or without Anastomosis). Methods/Design: In this multicentre randomised trial all patients with perforated diverticulitis are included. Upon laparoscopy, patients with purulent peritonitis are treated with laparoscopic lavage and drainage, Hartmann's procedure or sigmoidectomy with primary anastomosis in a ratio of 2:1:1 (LOLA-arm). Patients with faecal peritonitis will be randomised 1:1 between Hartmann's procedure and resection with primary anastomosis (DIVA-arm). The primary combined endpoint of the LOLA-arm is major morbidity and mortality. A sample size of 132:66:66 patients will be able to detect a difference in the primary endpoint from 25% in resectional groups compared to 10% in the laparoscopic lavage group (two sided alpha = 5%, power = 90%). Endpoint of the DIVA-arm is stoma free survival one year after initial surgery. In this arm 212 patients are needed to significantly demonstrate a difference of 30% (log rank test two sided alpha = 5% and power

Published
2010
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4. Direct trial. Diverticulitis recurrences or continuing symptoms: Operative versus conservative Treatment. A Multicenter randomised clinical trial

Author

Wall, B.J.M. (Bryan) van de, Draaisma, W.A. (Werner), Consten, E.C. (Esther), Graaf, Y. (Yolanda) van der, Otten, M.H. (Marten Henk), Wit, G.A. (Ardine) de, Stel, H.F. (Henk) van, Gerhards, M.F. (Michael), Wiezer, M.J. (Marinus), Cense, H.A. (Huib), Stockmann, H.B.A.C. (Hein), Leijtens, J.W.A. (Jeroen), Zimmerman, D.D.E. (David), Belgers, E.H.J. (Eric), Wagensveld, B.A. (Bart) van, Sonneveld, E.D.J.A. (Eric), Prins, H.A. (Hubert), Coene, P-P. (Peter Paul), Karsten, T.M. (Thomas), Klaase, J.M. (Joost), Statius Muller, M.G. (Markwin), Crolla, R.M.P.H. (Rogier), Broeders, I.A.M.J. (Ivo), Wall, B.J.M. (Bryan) van de, Draaisma, W.A. (Werner), Consten, E.C. (Esther), Graaf, Y. (Yolanda) van der, Otten, M.H. (Marten Henk), Wit, G.A. (Ardine) de, Stel, H.F. (Henk) van, Gerhards, M.F. (Michael), Wiezer, M.J. (Marinus), Cense, H.A. (Huib), Stockmann, H.B.A.C. (Hein), Leijtens, J.W.A. (Jeroen), Zimmerman, D.D.E. (David), Belgers, E.H.J. (Eric), Wagensveld, B.A. (Bart) van, Sonneveld, E.D.J.A. (Eric), Prins, H.A. (Hubert), Coene, P-P. (Peter Paul), Karsten, T.M. (Thomas), Klaase, J.M. (Joost), Statius Muller, M.G. (Markwin), Crolla, R.M.P.H. (Rogier), and Broeders, I.A.M.J. (Ivo)

Abstract

Background: Persisting abdominal complaints are common after an episode of diverticulitis treated conservatively. Furthermore, some patients develop frequent recurrences. These two groups of patients suffer greatly from their disease, as shown by impaired health related quality of life and increased costs due to multiple specialist consultations, pain medication and productivity losses. Both conservative and operative management of patients with persisting abdominal complaints after an episode of diverticulitis and/or frequently recurring diverticulitis are applied. However, direct comparison by a randomised controlled trial is necessary to determine which is superior in relieving symptoms, optimising health related quality of life, minimising costs and preventing diverticulitis recurrences against acceptable morbidity and mortality associated with surgery or the occurrence of a complicated recurrence after conservative management. We, therefore, constructed a randomised clinical trial comparing these two treatment strategies. Methods/design: The DIRECT trial is a multicenter randomised clinical trial. Patients (18-75 years) presenting themselves with persisting abdominal complaints after an episode of diverticulitis and/or three or more recurrences within 2 years will be included and randomised. Patients randomised for conservative treatment are treated according to the current daily practice (antibiotics, analgetics and/or expectant management). Patients randomised for elective resection will undergo an elective resection of the affected colon segment. Preferably, a laparoscopic approach is used. The primary outcome is health related quality of life measured by the Gastro-intestinal Quality of Life Index, Short-Form 36, EQ-5D and a visual analogue scale for pain quantification. Secondary endpoints are morbidity, mortality and total costs. The total follow-up

Published
2010
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5. Laparoscopic ileocolic resection versus infliximab treatment of distal ileitis in Crohn's disease: A randomized multicenter trial (LIR!C-trial)

Author

Eshuis, E.J. (Emma), Bemelman, W.A. (Willem), Bodegraven, A.A. (Ad) van, Sprangers, M.A.G. (Mirjam), Bossuyt, P.M.M. (Patrick), Wit, A.W.M.V.M. de, Crolla, R.M.P.H. (Rogier), Cahen, D.L. (Djuna), Oostenbrug, L.E. (Liekele), Sosef, M.N. (Meindert), Voorburg, A.M.C.J. (Annet), Davids, P.H.P. (Paul), Woude, C.J. (Janneke) van der, Lange, J.F. (Johan), Mallant, R.C. (Rosalie), Boom, M.J. (Maarten), Lieverse, R.J. (Rob), Zaag, E.S. (Edwin) van der, Houben, M.H.M.G. (Martin), Vecht, C.J., Pierik, R.E.G.J.M. (Robert), Ditzhuijsen, T.J.M. (Theo) van, Prins, H.A. (Hubert), Marsman, W.A. (Willem), Stockmann, H.B. (Henricus), Brink, M.A. (Menno), Consten, E.C. (Esther), Werf, S.D.J. (Sjoerd) van der, Marinelli, A.W. (Andreas), Jansen, J.M. (Jeroen Michiel), Gerhards, M.F. (Michael), Bolwerk, C.L. (Clemens), Stassen, L.P. (Laurents), Spanier, B.W.M. (Marcel), Bilgen, E.J.S., Berkel, A.-M. (Anne-Marie) van, Cense, H.A. (Huib), Heukelem, H.A. (Henk) van, Laar, A. (Arnold) van de, Slot, W.B., Eijsbouts, Q.A. (Quirijn), Ooteghem, N.A. (Nancy), Wagensveld, B.A. (Bart) van, Brande, J.M.H. (Jan) van den, Geloven, A.A. (Anna) van, Bruin, K.F. (Karien), Maring, J.K. (John), Oldenburg, B. (Bas), Hillegersberg, R. (Richard) van, Jong, D.J. (Dirk) de, Bleichrodt, R. (Robert), Peet, D.L. (Donald) van der, Dekkers, P.E.P. (Pascal), Goei, T.H. (Hauwy), Stokkers, P.C.F. (Pieter), Eshuis, E.J. (Emma), Bemelman, W.A. (Willem), Bodegraven, A.A. (Ad) van, Sprangers, M.A.G. (Mirjam), Bossuyt, P.M.M. (Patrick), Wit, A.W.M.V.M. de, Crolla, R.M.P.H. (Rogier), Cahen, D.L. (Djuna), Oostenbrug, L.E. (Liekele), Sosef, M.N. (Meindert), Voorburg, A.M.C.J. (Annet), Davids, P.H.P. (Paul), Woude, C.J. (Janneke) van der, Lange, J.F. (Johan), Mallant, R.C. (Rosalie), Boom, M.J. (Maarten), Lieverse, R.J. (Rob), Zaag, E.S. (Edwin) van der, Houben, M.H.M.G. (Martin), Vecht, C.J., Pierik, R.E.G.J.M. (Robert), Ditzhuijsen, T.J.M. (Theo) van, Prins, H.A. (Hubert), Marsman, W.A. (Willem), Stockmann, H.B. (Henricus), Brink, M.A. (Menno), Consten, E.C. (Esther), Werf, S.D.J. (Sjoerd) van der, Marinelli, A.W. (Andreas), Jansen, J.M. (Jeroen Michiel), Gerhards, M.F. (Michael), Bolwerk, C.L. (Clemens), Stassen, L.P. (Laurents), Spanier, B.W.M. (Marcel), Bilgen, E.J.S., Berkel, A.-M. (Anne-Marie) van, Cense, H.A. (Huib), Heukelem, H.A. (Henk) van, Laar, A. (Arnold) van de, Slot, W.B., Eijsbouts, Q.A. (Quirijn), Ooteghem, N.A. (Nancy), Wagensveld, B.A. (Bart) van, Brande, J.M.H. (Jan) van den, Geloven, A.A. (Anna) van, Bruin, K.F. (Karien), Maring, J.K. (John), Oldenburg, B. (Bas), Hillegersberg, R. (Richard) van, Jong, D.J. (Dirk) de, Bleichrodt, R. (Robert), Peet, D.L. (Donald) van der, Dekkers, P.E.P. (Pascal), Goei, T.H. (Hauwy), and Stokkers, P.C.F. (Pieter)

Abstract

Background. With the availability of infliximab, nowadays recurrent Crohn's disease, defined as disease refractory to immunomodulatory agents that has been treated with steroids, is generally treated with infliximab. Infliximab is an effective but expensive treatment and once started it is unclear when therapy can be discontinued. Surgical resection has been the golden standard in recurrent Crohn's disease. Laparoscopic ileocolic resection proved to be safe and is characterized by a quick symptom reduction. The objective of this study is to co

Published
2008
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