Evidence map›Paper›PMID 42568153›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2026

Predictors of conversion and outcomes after conversion in laparoscopic redo ileocolic resection for Crohn's disease.

Gilad Alon, Michael Goldenshluger, Tairin Uchino, Mikhael Belkovsky, Michael A Valente, Scott R Steele, David Liska, Stefan D Holubar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Predictors of conversion and outcomes after conversion in laparoscopic redo ileocolic resection for Crohn's disease.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
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

8 authors.

Gilad AlonDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0009-0007-7128-9330
Michael GoldenshlugerDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Tairin UchinoDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-8397-573X
Mikhael BelkovskyDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-6599-7548
Michael A ValenteDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Scott R SteeleDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.
David LiskaDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-8632-6065
Stefan D HolubarDepartment of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-2549-9042

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRedo ileocolic resection (ICR) for Crohn's disease is technically challenging, and surgeons often debate whether a laparoscopic approach should be attempted given the risk of conversion. We evaluated predictors of conversion and postoperative outcomes following conversion to inform operative decision-making.

methodsPatients undergoing redo ileocolic resection for Crohn's disease from 2009 to 2021 at a quaternary referral centre were identified from a prospectively maintained database. Cases were categorized as completed laparoscopically, converted or planned open. Predictors of conversion and perioperative outcomes were analysed.

resultsAmong 436 redo ileocolic resections, 100 were attempted laparoscopically, with a 10% conversion rate. Penetrating disease was significantly associated with conversion. Postoperative outcomes after conversion were comparable to planned open surgery, including overall complications, readmission and reoperation. Length of stay was shorter after completed laparoscopy.

conclusionsConversion during laparoscopic redo ileocolic resection is uncommon and primarily driven by penetrating disease. Importantly, outcomes after conversion approximate those of planned open surgery, supporting an initial laparoscopic approach in appropriately selected patients.

Indexed as

ColectomyConversion to Open SurgeryCrohn DiseaseIleumLaparoscopyReoperationAdultColonFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsRetrospective StudiesCrohn's diseaseileocolic resectionlaparoscopic surgeryredo surgery

Identifiers

PMID42568153
PMCPMC13451614

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.