4.6 Review

Anti-TNF Agents and New Biological Agents (Vedolizumab and Ustekinumab) in the Prevention and Treatment of Postoperative Recurrence After Surgery in Crohn's Disease

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Early Biological Therapy in Operated Crohn's Disease Patients Is Associated With a Lower Rate of Endoscopic Recurrence and Improved Long-term Outcomes: A Single-center Experience

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Summary: This study aimed to investigate the impact of postoperative biological therapy on the incidence of endoscopic recurrence and long-term outcomes in Crohn's disease patients. The results showed that early treatment with biologics decreased the rates of endoscopic recurrence and hospitalization/surgery.

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Factors associated with anti-tumor necrosis factor effectiveness to prevent postoperative recurrence in Crohn's disease

Anthony Buisson et al.

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Risk Prediction and Comparative Efficacy of Anti-TNF vs Thiopurines, for Preventing Postoperative Recurrence in Crohn's Disease: A Pooled Analysis of 6 Trials

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Summary: This meta-analysis found that anti-TNF-alpha treatment is superior to thiopurine prophylaxis for preventing endoscopic and clinical recurrence of Crohn's disease after ileocolonic resection. This advantage was confirmed in subgroup analysis and after risk stratification.

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Vedolizumab may be an effective option for the treatment of postoperative recurrence of Crohn's disease

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Summary: This study compares the indications, postoperative management, and long-term prognosis of patients with ileocecal resection (ICR) for Crohn's disease (CD) in Hong Kong and the Netherlands. The study finds that there are differences in the main indications and postoperative management between the two regions, but the long-term prognosis after ICR is similar.

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What's New in the Postoperative Management of Crohn's Disease?

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Summary: Patients with Crohn's disease often require surgical resection due to complications or refractory disease. Postoperative management involves assessing risk factors for recurrence, advances in endoscopic evaluation, prophylactic therapy, noninvasive assessment methods, and novel surgical techniques. Studies suggest postoperative anti-TNF therapy reduces endoscopic recurrence, but optimal prophylaxis in biologic-experienced patients requires further exploration. Preliminary data also indicates new surgical modalities like the Kono-S anastomosis may decrease postoperative recurrence.

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Continued Postoperative Use of Tumor Necrosis Factor-α Inhibitors for the Prevention of Crohn's Disease Recurrence

Jongwook Yu et al.

Summary: This retrospective study evaluated the impact of continuing TNF-alpha inhibitors postoperatively on the recurrence of Crohn's disease in patients who were previously treated with TNF-alpha inhibitors. The results showed that postoperative use of TNF-alpha inhibitors significantly reduced the rate of clinical recurrence, suggesting that continuing TNF-alpha inhibitors after surgery could be beneficial for CD patients who received TNF-alpha inhibitors preoperatively.

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Henit Yanai et al.

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Kate E. Lee et al.

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Clinical and Genetic Factors Impact Time to Surgical Recurrence After Ileocolectomy for Crohn's Disease

Bryan P. Kline et al.

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Pauline Riviere et al.

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Ileocolonic End-to-End Anastomoses in Crohn's Disease Increase the Risk of Early Post-operative Endoscopic Recurrence in Those Undergoing an Emergency Resection

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CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2010)

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NEW ENGLAND JOURNAL OF MEDICINE (2010)

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WORLD JOURNAL OF GASTROENTEROLOGY (2010)

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AMERICAN JOURNAL OF GASTROENTEROLOGY (2009)

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The effect of smoking after surgery for Crohn's disease: a meta-analysis of observational studies

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INTERNATIONAL JOURNAL OF COLORECTAL DISEASE (2008)

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WORLD JOURNAL OF GASTROENTEROLOGY (2008)

Letter Medicine, General & Internal

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ARCHIVES OF INTERNAL MEDICINE (2007)

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EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY (2006)

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