Evidence map›Paper›PMID 42536158›Full record

ArticleSurgery today2026

Risk factors for long-term surgical recurrence following ileocecal resection for Crohn's disease.

Yuhua Huang, Zhizhen Qin, Danhua Yao, Tao Tian, Zeyu Ding, Feilong Guo, Yousheng Li

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Yuhua HuangDepartment of General Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Zhizhen QinDepartment of General Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Danhua YaoDepartment of General Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Tao TianDepartment of General Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Zeyu DingDepartment of General Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Feilong GuoDepartment of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing, 210002, China. guofeilong1990@126.com.
Yousheng LiDepartment of General Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China. liyoushengjz@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies focusing on surgical recurrence of Crohn's disease (CD) after ileocecal resection (ICR) are limited. This study aimed to identify the risk factors for long-term CD surgical recurrence following ICR.

methodsWe retrospectively analyzed 504 patients who underwent ICR for CD between July 2016 and September 2020. The primary outcome was surgical recurrence, and anastomotic recurrence was also evaluated. Survival and associations between clinical factors and outcomes were investigated using Kaplan-Meier analyses and Cox proportional hazards models.

resultsWe observed 76 surgical recurrences with a median follow-up of 75 (67-84 months). The surgical recurrence rate was significantly lower in patients who received prophylactic biologic therapy (P < 0.001). Preoperative anti-TNF exposure (HR, 1.659; 95% CI, 1.029-2.674) and ≥ 2 previous surgeries for CD (HR, 2.236; 95% CI, 1.169-4.277) were associated with an increased risk of surgical recurrence, whereas postoperative biologic prophylaxis was protective against surgical recurrence (HR, 0.206; 95% CI, 0.087-0.488). Primary anastomosis (HR, 0.485; 95% CI, 0.238-0.990) and history of perianal disease (HR, 2.079; 95% CI, 1.011-4.277) were associated with anastomotic surgical recurrence.

conclusionsPostoperative biological prophylaxis significantly reduced long-term surgical recurrence rates after ICR in patients with CD, thus emerging as an independent protective factor.

Indexed as

BiologicsCrohn’s diseaseIleocecal resectionPostoperative prophylaxisSurgical recurrence

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