Evidence map›Paper›PMID 35407568›Full record

ArticleJournal of clinical medicine2022

Has the Removing of the Mesentery during Ileo-Colic Resection an Impact on Post-Operative Complications and Recurrence in Crohn's Disease? Results from the Resection of the Mesentery Study (Remedy).

Michela Mineccia, Giovanni Maconi, Marco Daperno, Maria Cigognini, Valeria Cherubini, Francesco Colombo, Serena Perotti, Caterina Baldi, Paolo Massucco, Sandro Ardizzone and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07164209 (Resection of the Mesentery With Functional End-to-end Anastomosis vs Kono Anastomosis in Preventing Relapse After Ileocolic Resection for Primary Crohn Disease), which is not on this map. Cited by 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07164209 nacompletednot on this map

Resection of the Mesentery With Functional End-to-end Anastomosis vs Kono Anastomosis in Preventing Relapse After Ileocolic Resection for Primary Crohn Disease: a Prospective, Randomized, Controlled Trial Remeasure CD TRial

TypeinterventionalSponsorAzienda Ospedaliera Ordine Mauriziano di TorinoRan2022 to 2024Enrolled73ConditionsIleocolic Crohn Disease, Kono S Anastomosis, Resection of the MesenteryArmsExcision of the mesentery: the mesentery is fully dissected and excised to the limit of macroscopic "fat wrapping", where mesenteric fat is inflamed and extends beyond its normal anatomical distribut, Kono S Anastomosis
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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  13. The Surgical Management of the Mesentery in Crohn's Disease.Clinics in colon and rectal surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Michela MinecciaDivision of General and Oncologic Surgery, Ospedale Mauriziano Umberto I, Largo Turati 62, 10128 Torino, Italy.
Giovanni MaconiDivision of Gastroenterology, ASST Fatebenefratelli-Sacco, via G.B. Grassi 74, 20157 Milano, Italy.
Marco DapernoDivision of Gastroenterology, Ospedale Mauriziano Umberto I, Largo Turati 62, 10128 Torino, Italy.
Maria CigogniniDivision of General Surgery, ASST Fatebenefratelli-Sacco, Ospedale, via G.B. Grassi 74, 20157 Milano, Italy.ORCID 0000-0003-1419-6422
Valeria CherubiniDivision of General and Oncologic Surgery, Ospedale Mauriziano Umberto I, Largo Turati 62, 10128 Torino, Italy.
Francesco ColomboDivision of General Surgery, ASST Fatebenefratelli-Sacco, Ospedale, via G.B. Grassi 74, 20157 Milano, Italy.
Serena PerottiDivision of General and Oncologic Surgery, Ospedale Mauriziano Umberto I, Largo Turati 62, 10128 Torino, Italy.
Caterina BaldiDivision of General Surgery, ASST Fatebenefratelli-Sacco, Ospedale, via G.B. Grassi 74, 20157 Milano, Italy.ORCID 0000-0002-5792-3880
Paolo MassuccoDivision of General and Oncologic Surgery, Ospedale Mauriziano Umberto I, Largo Turati 62, 10128 Torino, Italy.
Sandro ArdizzoneDivision of Gastroenterology, ASST Fatebenefratelli-Sacco, via G.B. Grassi 74, 20157 Milano, Italy.
Alessandro FerreroDivision of General and Oncologic Surgery, Ospedale Mauriziano Umberto I, Largo Turati 62, 10128 Torino, Italy.
Gianluca M SampietroDivision of General Surgery, ASST Fatebenefratelli-Sacco, Ospedale, via G.B. Grassi 74, 20157 Milano, Italy.ORCID 0000-0001-7168-441X
ASST Fatebenefratelli Sacco · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some evidence suggests a reduction in clinical and surgical recurrence after mesenteric resection in Crohn's Disease (CD). The aim of the REsection of the MEsentery StuDY (Remedy) was to assess whether mesenteric removal during surgery for ileocolic CD has an impact in terms of postoperative complications, endoscopic and ultrasonographic recurrences, and long-term surgical recurrence. Among the 326 patients undergoing primary resection between 2009 and 2019 in two referral centers, in 204 (62%) the mesentery was resected (Group A) and in 122 (38%) it was retained (Group B). Median follow-up was 4.7 ± 3 years. Groups were similar in the peri-operative course. Endoscopic and ultrasonographic recurrences were 44.6% and 40.4% in Group A, and 46.7% and 41.2% in Group B, respectively, without statistically significant differences. The five-year time-to-event estimates, compared with the Log-rank test, were 3% and 4% for normal or thickened mesentery (

Indexed as

anastomosiscomplicationsCrohn’s diseaseIBDmesenteryresectionsurgerysurgical recurrence

Identifiers

PMID35407568
PMCPMC8999639
OpenAlexW4223473857

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.