Journal
JOURNAL OF CROHNS & COLITIS
Volume -, Issue -, Pages -Publisher
OXFORD UNIV PRESS
DOI: 10.1093/ecco-jcc/jjad053
Keywords
Crohn's disease; postoperative; recurrence; prevention; treatment
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Postoperative recurrence in patients with Crohn's disease undergoing ileocolonic resection can lead to further bowel damage and decreased quality of life. Available scientific data on prevention and treatment of postoperative recurrence were reviewed, and a management algorithm for daily clinical practice was developed.
Despite the introduction of biological therapies, an ileocolonic resection is often required in patients with Crohn's disease [CD]. Unfortunately, surgery is not curative, as many patients will develop postoperative recurrence [POR], eventually leading to further bowel damage and a decreased quality of life. The 8th Scientific Workshop of ECCO reviewed the available scientific data on both prevention and treatment of POR in patients with CD undergoing an ileocolonic resection, dealing with conventional and biological therapies, as well as non-medical interventions, including endoscopic and surgical approaches in case of POR. Based on the available data, an algorithm for the postoperative management in daily clinical practice was developed.
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