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Andersson, Roland
Alternative names
Publications (10 of 36) Show all publications
Abdalla, M., Norblad, R., Olsson, M., Landerholm, K., Andersson, P., Söderholm, J. D., . . . Myrelid, P. (2019). Anorectal Function After Ileo-Rectal Anastomosis Is Better than Pelvic Pouch in Selected Ulcerative Colitis Patients. Digestive Diseases and Sciences
Open this publication in new window or tab >>Anorectal Function After Ileo-Rectal Anastomosis Is Better than Pelvic Pouch in Selected Ulcerative Colitis Patients
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2019 (English)In: Digestive Diseases and Sciences, ISSN 0163-2116, E-ISSN 1573-2568Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: With a lifelong perspective, 12% of ulcerative colitis patients will need a colectomy. Further reconstruction via ileo-rectal anastomosis or pouch can be affected by patients' perspective of their quality of life after surgery.

AIM: To assess the function and quality of life after restorative procedures with either ileo-rectal anastomosis or ileal pouch-anal anastomosis in relation to the inflammatory activity on endoscopy and in biopsies.

METHOD: A total of 143 UC patients operated with subtotal colectomy and ileo-rectal anastomosis or pouches between 1992 and 2006 at Linköping University Hospital were invited to participate. Those who completed the validated questionnaires (Öresland score, SF-36, Short Health Scale) were offered an endoscopic evaluation including multiple biopsies. Associations between anorectal function and quality of life with type of restorative procedure and severity of endoscopic and histopathologic grading of inflammation were evaluated.

RESULTS: Some 77 (53.9%) eligible patients completed questionnaires, of these 68 (88.3%) underwent endoscopic evaluation after a median follow-up of 12.5 (range 3.5-19.4) years after restorative procedure. Patients with ileo-rectal anastomosis reported better overall Öresland score: median = 3 (IQR 2-5) for ileo-rectal anastomosis (n = 38) and 10 (IQR 5-15) for pouch patients (n = 39) (p < 0.001). Anorectal function (Öresland score) and endoscopic findings (Baron-Ginsberg score) were positively correlated in pouch patients (tau: 0.28, p = 0.006).

CONCLUSION: Patients operated with ileo-rectal anastomosis reported better continence compared to pouches. Minor differences were noted regarding the quality of life. Ileo-rectal anastomosis is a valid option for properly selected ulcerative colitis patients if strict postoperative endoscopic surveillance is carried out.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2019
Keywords
Ileal pouch-anal anastomosis, Ileo-rectal anastomosis, Quality of life, Ulcerative colitis
National Category
Surgery Gastroenterology and Hepatology
Identifiers
urn:nbn:se:liu:diva-160247 (URN)10.1007/s10620-019-05757-6 (DOI)31372911 (PubMedID)2-s2.0-85070104240 (Scopus ID)
Available from: 2019-09-13 Created: 2019-09-13 Last updated: 2019-09-18Bibliographically approved
Andersson, R. (2019). Less invasive pilonidal sinus surgical procedures. Colo-Proctology, 41(2), 117-120
Open this publication in new window or tab >>Less invasive pilonidal sinus surgical procedures
2019 (English)In: Colo-Proctology, ISSN 0174-2442, E-ISSN 1615-6730, Vol. 41, no 2, p. 117-120Article in journal (Refereed) Published
Abstract [en]

Pilonidal disease can be treated by less invasive methods such as simple mechanical cleansing of the sinus and cavity of hairs and granulation tissue eventually supplemented by filling the space with an antiseptic or sclerosing agent like phenol (forbidden in Germany due to its toxicity) or space-holding fibrin glue. Minimal excision or debridement of the sinus and/or cavity through amidline or aseparate paramedial excision can also be performed, leaving the wounds open or closed. These methods are simple and cost-efficient, and associated with low pain, rapid healing, and arapid return to normal activity. Adisadvantage is the higher recurrence rate; however, these methods can be used repeatedly for recurrences. Whereas the evidence for treatment with phenol or fibrine glue is weak, there are numerous reports supporting the safety and efficiency of the minimally invasive surgical methods. Because of the associated low risk for complications and morbidity, these procedures are suitable for first-line treatment in the majority of pilonidal disease patients.

Place, publisher, year, edition, pages
Heidelberg, Germany: Springer Medizin, 2019
Keywords
Minimally invasive surgical procedures; Antiseptics; Fibrin tissue adhesive; Phenol; Sclerosis
National Category
Surgery
Identifiers
urn:nbn:se:liu:diva-157561 (URN)10.1007/s00053-019-0341-5 (DOI)000464835500008 ()2-s2.0-85064219377 (Scopus ID)
Available from: 2019-06-22 Created: 2019-06-22 Last updated: 2019-06-25Bibliographically approved
Andersson, R., Doll, D., Stauffer, V. K., Vogt, A. P., Boggs, S. D. & Luedi, M. M. (2018). Interdisciplinary Dialogue Is Needed When Defining Perioperative Recommendations: Conflicting Guidelines for Anesthetizing Patients for Pilonidal Surgery. AandA practice, 11(8), 227-229
Open this publication in new window or tab >>Interdisciplinary Dialogue Is Needed When Defining Perioperative Recommendations: Conflicting Guidelines for Anesthetizing Patients for Pilonidal Surgery
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2018 (English)In: AandA practice, ISSN 2575-3126, Vol. 11, no 8, p. 227-229Article in journal (Refereed) Published
Abstract [en]

National or international guidelines can help surgeons and anesthesiologists make treatment decisions, but the existence of conflicting recommendations can hinder treatment rather than helping. A case in point is the treatment of pilonidal sinus disease, a chronic subcutaneous infection located in the sacrococcygeal area. Its incidence is rising, reaching almost 100/100,000 inhabitants. Three surgical societies have proposed guidelines for treating the disease, but these guidelines vary greatly in their approach to anesthesia. Who should provide input into guidelines? And how can medical disciplines successfully collaborate? Anesthesiologists must be involved in defining perioperative recommendations not only in patients with pilonidal sinus disease.

Place, publisher, year, edition, pages
Wolters Kluwer, 2018
National Category
Gastroenterology and Hepatology
Identifiers
urn:nbn:se:liu:diva-156049 (URN)10.1213/XAA.0000000000000780 (DOI)29688925 (PubMedID)
Available from: 2019-04-02 Created: 2019-04-02 Last updated: 2019-04-02
Sjoberg Bexelius, T., Ahle, M., Elfvin, A., Björling, O., Ludvigsson, J. F. & Andersson, R. (2018). Intestinal failure after necrotising enterocolitis: incidence and risk factors in a Swedish population-based longitudinal study. BMJ paediatrics open, 2(1), Article ID e000316.
Open this publication in new window or tab >>Intestinal failure after necrotising enterocolitis: incidence and risk factors in a Swedish population-based longitudinal study
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2018 (English)In: BMJ paediatrics open, ISSN 2399-9772, Vol. 2, no 1, article id e000316Article in journal (Refereed) Published
Abstract [en]

Paediatric intestinal failure (IF) is a disease entity characterised by gut insufficiency often related to short bowel syndrome. It is commonly caused by surgical removal of a large section of the small intestine in association with necrotising enterocolitis (NEC), which usually affects premature infants. This study investigated the incidence and risk of IF in preterm infants with or without NEC.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018
Keywords
gastroenterology; infant feeding; neonatology; nutrition; paediatric surgery
National Category
Pediatrics
Identifiers
urn:nbn:se:liu:diva-156074 (URN)10.1136/bmjpo-2018-000316 (DOI)30613802 (PubMedID)
Available from: 2019-04-02 Created: 2019-04-02 Last updated: 2019-04-02
Ahle, M., Drott, P., Elfvin, A. & Andersson, R. E. (2018). Maternal, fetal and perinatal factors associated with necrotizing enterocolitis in Sweden: A national case-control study. PLoS ONE, 13(3), Article ID e0194352.
Open this publication in new window or tab >>Maternal, fetal and perinatal factors associated with necrotizing enterocolitis in Sweden: A national case-control study
2018 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, PLoS ONE, ISSN 1932-6203, Vol. 13, no 3, article id e0194352Article in journal (Refereed) Published
Abstract [en]

Objective

To analyze associations of maternal, fetal, gestational, and perinatal factors with necrotizing enterocolitis in a matched case-control study based on routinely collected, nationwide register data.

Study design

All infants born in 1987 through 2009 with a diagnosis of necrotizing enterocolitis in any of the Swedish national health care registers were identified. For each case up to 6 controls, matched for birth year and gestational age, were selected. The resulting study population consisted of 720 cases and 3,567 controls. Information on socioeconomic data about the mother, maternal morbidity, pregnancy related diagnoses, perinatal diagnoses of the infant, and procedures in the perinatal period, was obtained for all cases and controls and analyzed with univariable and multivariable logistic regressions for the whole study population as well as for subgroups according to gestational age.

Results

In the study population as a whole, we found independent positive associations with necrotizing enterocolitis for isoimmunization, fetal distress, cesarean section, neonatal bacterial infection including sepsis, erythrocyte transfusion, persistent ductus arteriosus, cardiac malformation, gastrointestinal malformation, and chromosomal abnormality. Negative associations were found for maternal weight, preeclampsia, maternal urinary infection, premature rupture of the membranes, and birthweight. Different patterns of associations were seen in the subgroups of different gestational age.

Conclusion

With some interesting exceptions, especially in negative associations, the results of this large, population based study, are in keeping with earlier studies. Although restrained by the limitations of register data, the findings mirror conceivable pathophysiological processes and underline that NEC is a multifactorial disease.

Place, publisher, year, edition, pages
San Francisco, United States: Public Library of Science, 2018
National Category
Pediatrics
Identifiers
urn:nbn:se:liu:diva-146093 (URN)10.1371/journal.pone.0194352 (DOI)000428168400016 ()29570713 (PubMedID)2-s2.0-85044427061 (Scopus ID)
Note

Funding agencies: Region Ostergotland, Sweden [LiO-107641]; Medical Research Council of Southeast Sweden [FORSS-77481]; Futurum - the Academy of Health Care, Jonkoping County Council, Jonkoping, Sweden; Region Ostergotland [LIO-130291, LIO-204581, LIO-280451, LIO-361481, L

Available from: 2018-03-27 Created: 2018-03-27 Last updated: 2018-05-14Bibliographically approved
Landerholm, K., Abdalla, M., Myrelid, P. & Andersson, R. (2017). Survival of ileal pouch anal anastomosis constructed after colectomy or secondary to a previous ileorectal anastomosis in ulcerative colitis patients: a population-based cohort study. Scandinavian Journal of Gastroenterology, 52(5), 531-535
Open this publication in new window or tab >>Survival of ileal pouch anal anastomosis constructed after colectomy or secondary to a previous ileorectal anastomosis in ulcerative colitis patients: a population-based cohort study
2017 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 52, no 5, p. 531-535Article in journal (Refereed) Published
Abstract [en]

Objectives: Ileorectal anastomosis (IRA) affects bowel function, sexual function and reproduction less negatively than ileal pouch anal anastomosis (IPAA), the standard reconstruction after colectomy for ulcerative colitis (UC). In younger UC patients, IRA may have a role postponing pelvic surgery and IPAA. The aim of the present study was to investigate the survival of IPAA secondary to IRA compared to IPAA as primary reconstruction, as this has not previously been studied in UC. Patients and methods: All patients with UC diagnosis between 1960 and 2010 in Sweden were identified from the National Patient Registry. From this cohort, colectomized patients reconstructed with primary IPAA and patients reconstructed with IPAA secondary to IRA were identified. The survival of the IPAA was followed up until pouch failure, defined as pouchectomy and ileostomy or a diverting ileostomy alone. Results: Out of 63,796 patients, 1796 were reconstructed with IPAA, either primarily (n=1720) or secondary to a previous IRA (n=76). There were no demographic differences between the groups, including length of follow-up (median 12.6 (IQR 6.7-16.6) years and 10.0 (IQR 3.5-15.9) years, respectively). Failure of the IPAA occurred in 103 (6.0%) patients with primary and in 6 (8%) patients after secondary IPAA (P=0.38 log-rank). The 10-year pouch survival was 94% (95% CI 93-96) for primary IPAA and 92% (81-97) for secondary. Conclusions: Patients choosing IRA as primary reconstruction do not have an increased risk of failure of a later secondary IPAA in comparison with patients with primary IPAA.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2017
Keywords
Ulcerative colitis; inflammatory bowel disease; ileal pouch anal anastomosis; ileoanal pouches; ileoanal reservoir; pelvic pouches; ileorectal anastomosis; restorative proctocolectomy; pouch failure; pouch survival
National Category
Gastroenterology and Hepatology
Identifiers
urn:nbn:se:liu:diva-136233 (URN)10.1080/00365521.2016.1278457 (DOI)000395746800006 ()28102092 (PubMedID)
Note

Funding Agencies|Bengt Ihres Fund; Medical Research Council of Southeast Sweden; Futurum - Academy for Health and Care; Region Jonkoping County, Sweden

Available from: 2017-03-31 Created: 2017-03-31 Last updated: 2018-05-02
Andersson, R. (2016). Editorial Material: Does Delay of Diagnosis and Treatment in Appendicitis Cause Perforation? in WORLD JOURNAL OF SURGERY, vol 40, issue 6, pp 1315-1317. World Journal of Surgery, 40(6), 1315-1317
Open this publication in new window or tab >>Editorial Material: Does Delay of Diagnosis and Treatment in Appendicitis Cause Perforation? in WORLD JOURNAL OF SURGERY, vol 40, issue 6, pp 1315-1317
2016 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 40, no 6, p. 1315-1317Article in journal, Editorial material (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
SPRINGER, 2016
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-129489 (URN)10.1007/s00268-016-3489-y (DOI)000376368600006 ()26935563 (PubMedID)
Available from: 2016-06-21 Created: 2016-06-20 Last updated: 2017-11-28
Di Saverio, S., Birindelli, A., Kelly, M. D., Catena, F., Weber, D. G., Sartelli, M., . . . Andersson, R. (2016). WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis. World Journal of Emergency Surgery, 11(34)
Open this publication in new window or tab >>WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis
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2016 (English)In: World Journal of Emergency Surgery, ISSN 1749-7922, E-ISSN 1749-7922, Vol. 11, no 34Article, review/survey (Refereed) Published
Abstract [en]

Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in the diagnosis of AA is still debated, with variable use of US, CT and MRI in different settings worldwide. Up to date, comprehensive clinical guidelines for diagnosis and management of AA have never been issued. In July 2015, during the 3rd World Congress of the WSES, held in Jerusalem (Israel), a panel of experts including an Organizational Committee and Scientific Committee and Scientific Secretariat, participated to a Consensus Conference where eight panelists presented a number of statements developed for each of the eight main questions about diagnosis and management of AA. The statements were then voted, eventually modified and finally approved by the participants to The Consensus Conference and lately by the board of co-authors. The current paper is reporting the definitive Guidelines Statements on each of the following topics: 1) Diagnostic efficiency of clinical scoring systems, 2) Role of Imaging, 3) Non-operative treatment for uncomplicated appendicitis, 4) Timing of appendectomy and in-hospital delay, 5) Surgical treatment 6) Scoring systems for intra-operative grading of appendicitis and their clinical usefulness 7) Non-surgical treatment for complicated appendicitis: abscess or phlegmon 8) Pre-operative and post-operative antibiotics.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD, 2016
Keywords
Acute Appendicitis; Guidelines; Consensus Conference; Alvarado Score; Appendicitis diagnosis score; Non-operative management; Antibiotics; Complicated appendicitis; Appendectomy; Laparoscopic appendectomy; Phlegmon; Appendiceal abscess
National Category
Surgery
Identifiers
urn:nbn:se:liu:diva-130377 (URN)10.1186/s13017-016-0090-5 (DOI)000379972500001 ()27437029 (PubMedID)
Available from: 2016-08-15 Created: 2016-08-05 Last updated: 2017-11-28
Andersson, R. (2015). Editorial Material: The Magic of an Appendicitis Score in WORLD JOURNAL OF SURGERY, vol 39, issue 1, pp 110-111. World Journal of Surgery, 39(1), 110-111
Open this publication in new window or tab >>Editorial Material: The Magic of an Appendicitis Score in WORLD JOURNAL OF SURGERY, vol 39, issue 1, pp 110-111
2015 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 39, no 1, p. 110-111Article in journal, Editorial material (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
SPRINGER, 2015
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-113571 (URN)10.1007/s00268-014-2821-7 (DOI)000346789500015 ()25297817 (PubMedID)
Available from: 2015-01-23 Created: 2015-01-23 Last updated: 2017-12-05
Andersson, R. (2015). Letter: General Surgeon Supply and Appendiceal Rupture: Proportion of Perforation Is Not a Meaningful Measure of Quality of Care in ANNALS OF SURGERY, vol 261, issue 5, pp E132-E132 [Letter to the editor]. Annals of Surgery, 261(5), E132-E132
Open this publication in new window or tab >>Letter: General Surgeon Supply and Appendiceal Rupture: Proportion of Perforation Is Not a Meaningful Measure of Quality of Care in ANNALS OF SURGERY, vol 261, issue 5, pp E132-E132
2015 (English)In: Annals of Surgery, ISSN 0003-4932, E-ISSN 1528-1140, Vol. 261, no 5, p. E132-E132Article in journal, Letter (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
Lippincott, Williams and Wilkins, 2015
National Category
Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-117640 (URN)10.1097/SLA.0000000000000620 (DOI)000352326900009 ()24646552 (PubMedID)
Available from: 2015-05-12 Created: 2015-05-06 Last updated: 2017-12-04
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