4.6 Article

Results of the Eighth Scientific Workshop of ECCO: Diagnosing Postoperative Recurrence of Crohn's Disease After an Ileocolonic Resection With Ileocolonic Anastomosis

Journal

JOURNAL OF CROHNS & COLITIS
Volume 17, Issue 9, Pages 1373-1386

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ecco-jcc/jjad055

Keywords

Crohn's disease; endoscopic recurrence; clinical recurrence; surgical recurrence; assessment

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This article describes the different methodologies used to report postoperative recurrence in patients with Crohn's disease, including endoscopic, histological, radiological, biochemical, clinical, and surgical approaches. The potential benefits and limitations of these methods, as well as the optimal timing of evaluation, are reviewed.
Despite the introduction of potent biologic therapies, many patients with Crohn's disease [CD] still require an ileocolonic resection [ICR] during the course of their disease. Furthermore, the need of redo ICR has not decreased over the past few decades, highlighting the need for better strategies to prevent and treat postoperative recurrence [POR]. The first step to develop such a strategy would be to define and standardise the description of POR with adequate diagnostic instruments. In this article, we will describe the different methodologies used to report POR [endoscopic, histological, radiological, biochemical, clinical, and surgical], and review their potential benefits and limitations, as well as the optimal timing of evaluation.

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