Risk of postoperative recurrence and postoperative management of Crohn's disease.

Abstract:

:Crohn's disease (CD) is a chronic inflammatory disease of the digestive tract with systemic manifestations. Etiology is unknown, even if immunological, genetic and environmental factors are involved. The majority of CD patients require surgery during their lifetime due to progressive bowel damage, but, even when all macroscopic lesions have been removed by surgery, the disease recurs in most cases. Postoperative management represents therefore a crucial mean for preventing recurrence. Several drugs and approaches have been proposed to achieve this aim. Endoscopic inspection of the ileocolic anastomosis within 1 year from surgery is widely encouraged, given that endoscopic recurrence is one of the greatest predictors for clinical recurrence. A strategy should be planned only after stratifying patients according to their individual risk of recurrence, avoiding unnecessary therapies when possible benefits are reduced, and selecting high-risk patients for more aggressive intervention.

journal_name

World J Gastroenterol

authors

Spinelli A,Sacchi M,Fiorino G,Danese S,Montorsi M

doi

10.3748/wjg.v17.i27.3213

subject

Has Abstract

pub_date

2011-07-21 00:00:00

pages

3213-9

issue

27

eissn

1007-9327

issn

2219-2840

journal_volume

17

pub_type

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