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Updates in Surgery
Published in: Updates in Surgery 1/2019

01-03-2019 | Ulcerative Colitis | Editorial and Commentary

The role of the mesentery in reducing recurrence after surgery in Crohn’s disease

Authors: Dakshitha Wickramasinghe, Janindra Warusavitarne

Published in: Updates in Surgery | Issue 1/2019

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Excerpt

Crohn’s disease (CD) is a relapsing and remitting disorder with an annual incidence of 3–20 per 100,000. Approximately, half of the patients will have the disease affecting the terminal ileum and a third will have isolated small bowel disease. The probability of requiring surgery for CD is 78% and 90% after 20 and 30 years of disease, respectively [1]. Post-operative recurrence is an important issue in ileocolic disease, with an estimated re-operation rate of 11–32% at 5 years increasing to 46–55% at 20 years [2]. Post-operative treatment goals usually centre on minimising disease recurrence. …
Literature
1.
Coffey JC et al (2018) Inclusion of the mesentery in ileocolic resection for Crohn’s disease is associated with reduced surgical recurrence. J Crohns Colitis 12(10):1139–1150CrossRefPubMedPubMedCentral
2.
3.
Coffey JC et al (2016) The mesentery in Crohn’s disease: friend or foe? Curr Opin Gastroenterol 32(4):267–273CrossRefPubMed
4.
5.
Kono T et al (2011) A new antimesenteric functional end-to-end handsewn anastomosis: surgical prevention of anastomotic recurrence in Crohn’s disease. Dis Colon Rectum 54(5):586–592CrossRefPubMed
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Simillis C et al (2008) A meta-analysis comparing incidence of recurrence and indication for reoperation after surgery for perforating versus nonperforating Crohn’s disease. Am J Gastroenterol 103(1):196–205CrossRefPubMed
Metadata
Title
The role of the mesentery in reducing recurrence after surgery in Crohn’s disease
Authors
Dakshitha Wickramasinghe
Janindra Warusavitarne
Publication date
01-03-2019
Publisher
Springer International Publishing
Published in
Updates in Surgery / Issue 1/2019
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-019-00623-6

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