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Category: Volume 07 Issue 05 May 2019
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Title: Study on Steroid Usage in Preoperative Inflammatory Bowel Disease

Authors: Dr N.Junior Sundresh, Dr S.Narendran, Nayana Koshy, Mohammad Faheem Mohiuddin , K.Arunraj, S.Sowmiya, Mowlika Telaprolu

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.16

Abstract

Aims & Objectives: To study the usage of Steroids in Perioperative Inflammatory Bowel Disease.

Methodology: This is Prospective Observational study conducted in the Department of Surgery at RMMCH for the duration of 3months.

Results: In this study, 102 patients were enrolled in which majority of patients were female (66.4%) than male (33.6%). Among them, majority of patients fall under 30-40 years of age group, for about 50.9% and least among 20-30years of age group, for about 21.5%. Likewise, number of patients who have inflammatory bowel disease co-existed with diabetic mellitus were around 37.1%, anemia 26.4%, renal disease 24.7%, cardiac 11.5%. Among these patients, 73.3% female patients were reported with Crohn’s disease in which 54.5% took steroids and 26.6% were male patients reported with Crohn’s disease with 75% steroid usage.73.8% males were having Ulcerative colitis in which 44.4% patients took steroid drugs and 26.7% female’s patients were reported with Ulcerative colitis with 41.6% steroid usage.

Conclusion: Preoperative steroid use was 44.4% & 41.6% in case of male and female patients in ulcerative colitis whereas in Crohn’s disease steroid usage by male and female patients were 75% & 54.5%. In our study, male patients with Crohn’s disease found to have higher steroid usage (75%), therefore, the male patients with Crohn’s disease having higher risk of postoperative complications, so more number of studies are needed to rectify the effect of preoperative steroid usage.

Keywords: Steroids Usage, Inflammatory Bowel Disease, Crohn’s Disease, Ulcerative colitis.

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Corresponding Author

Dr N.Junior Sundresh

Professor, Department of Surgery, R.M.M.C.H, Annamalai University

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