Journal
CLINICAL AND TRANSLATIONAL GASTROENTEROLOGY
Volume 12, Issue 12, Pages -Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.14309/ctg.0000000000000421
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Data suggests that proper mesenteric treatment in Crohn's colitis may reduce the need for subsequent surgeries, but this data has not yet influenced surgical practices.
Data suggesting that the mesentery plays an important pathophysiologic role in Crohn's disease and recurrence make the mesentery an attractive therapeutic target during surgical management of Crohn's disease. A new study by Zhu et al. demonstrates that patients with Crohn's colitis who undergo a more extensive mesenteric resection may have a lower rate of needing subsequent operations. We discuss some of the reasons why these data, although much needed by the inflammatory bowel disease community, do not yet sway standard surgical practice for Crohn's colitis.
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