ArticleTechniques in coloproctology2014
Surgical recurrence after primary ileocolic resection for Crohn's disease.
Article in Techniques in coloproctology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Incidence and predictors of surgical recurrence after primary ileocolic resection in Crohn ileitis: a systematic review and meta-analysis.Inflammatory bowel diseases · 2026Pooled it
- Disease recurrence in patients with Crohn's disease after biologic therapy or surgery: a meta-analysis.International journal of colorectal disease · 2022Pooled it
- Article
- Ileocolic resection versus medical therapy for Crohn's disease in the post-biologic era: a systematic review.Translational gastroenterology and hepatology · 2026Review
- The Prevalence of Concomitant Skip Small Bowel Lesions in Crohn's Disease and Their Effects on Reoperation in Patients Undergoing Ileocolic Resection.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Observational
- Early Ileocecal Resection Is an Effective Therapy in Isolated Crohn's Disease.Journal of clinical medicine · 2021Article
- Risk Factors for Postoperative Recurrence in Korean Patients with Crohn's Disease.Gut and liver · 2020Article
- Inclusion of the Mesentery in Ileocolic Resection for Crohn's Disease is Associated With Reduced Surgical Recurrence.Journal of Crohn's & colitis · 2018Article
- Surgical recurrence in Crohn's disease: a comparison between different types of bowel resections.International journal of colorectal disease · 2018Article
- Risk factors for postoperative recurrence after primary bowel resection in patients with Crohn's disease.World journal of gastroenterology · 2017Article
- Endoscopy-based management decreases the risk of postoperative recurrences in Crohn's disease.World journal of gastroenterology · 2016Article
- Surgical recurrence in Crohn's disease: Are we getting better?World journal of gastroenterology · 2015Review
- Predictors of recurrence of Crohn's disease after ileocolectomy: a review.World journal of gastroenterology · 2014Review
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current study was conducted to assess long-term outcomes after primary ileocolic resection for Crohn's disease (CD) and to identify factors associated with surgical relapse in the era of immunosuppressive medications.
methodsData were collected retrospectively on 116 consecutive patients, who underwent primary ileocolic resection for CD at a tertiary referral center between 1997 and 2006. Medical records were reviewed, and the use of immunomodulators was noted. The cumulative probability for a second operation due to recurrent CD was described by Kaplan-Meier curves.
resultsTen patients (8.6 %) developed surgical recurrence after a mean follow-up period of 8.1 (±2.6) years. The percentage of patients not requiring further surgery was 96.5% and 88.0 % at 5 and 10 years, respectively. An urgent indication for surgery was significantly associated with the necessity of repeated intestinal resection (hazard ratio 5.6, 95 % confidence interval 1.2-27.0, p = 0.0145). In addition, postoperative exposure to azathioprine/6-mercaptopurine for more than 3 months decreased the probability of surgical recurrence significantly (hazard ratio 2.5, 95 % confidence interval 0.6-9.9, p = 0.0349).
conclusionsIn contrast to previous studies, we observed a significant low surgical recurrence rate after primary ileocolic resection. Additionally, maintenance treatment with azathioprine/6-mercaptopurine after surgery may reduce the necessity for repeat surgical intervention.
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