Crohn's Ileitis and Ileocolitis: a Study of the Anatomical Distribution of Recurrence

Overview

Journal Dig Dis Sci

Specialty Gastroenterology

Date 1981 Jun 1

PMID 7238273

Citations 5

Authors

T R Koch

D R Cave

H Ford

J B Kirsner

Affiliations

Soon will be listed here.

Abstract

The records were reviewed of 56 consecutive patients with Crohn's disease (CD) who had had an ileocolonic anastomosis formed during surgical resection for Crohn's ileitis or ileocolitis. Twenty-seven patients (48%) were found to have radiological, pathological, or surgical evidence of recurrent CD. Of 24 patients with a diagnosis of Crohn's ileitis at initial surgery, 9 were found to have recurrent disease proximal to the anastomotic site. Of 32 patients with ileocolitis, 11 had recurrent disease proximal and distal to the anastomosis. Contrary to many prior reports, recurrent CD is not always located proximally to a surgical anastomosis. The distribution of recurrent CD tends to be a statistically significant function of the initial anatomical location with proximal recurrence found most often in Crohn's ileitis, while proximal and distal recurrence is associated with Crohn's ileocolitis (X2 = 4.5 P less than 0.05).

Citing Articles

Crohn's disease and anastomotic recurrence: microvascular ischaemia and anastomotic healing in an animal model.

Osborne M, Hudson M, Piasecki C, Dhillon A, Lewis A, Pounder R Br J Surg. 1993; 80(2):226-9.

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The long-term outcome of restorative operation in Crohn's disease: influence of location, prognostic factors and surgical guidelines.

Trnka Y, Glotzer D, KASDON E, Goldman H, Steer M, Goldman L Ann Surg. 1982; 196(3):345-55.

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Natural history of recurrent Crohn's disease at the ileocolonic anastomosis after curative surgery.

Rutgeerts P, Geboes K, VANTRAPPEN G, KERREMANS R, Coenegrachts J, Coremans G Gut. 1984; 25(6):665-72.

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Postoperative recurrence in Crohn's disease. The effect of the initial length of bowel resection and operative procedure.

Ellis L, Calhoun P, Kaiser D, RUDOLF L, Hanks J Ann Surg. 1984; 199(3):340-7.

PMID: 6703794 PMC: 1353402. DOI: 10.1097/00000658-198403000-00015.

The postoperative recurrence of Crohn's disease: an analysis of 37 patients with Crohn's disease who underwent endoscopy during initial surgery.

Arima S, Yoshimura S, Futami K, Yao T Surg Today. 1992; 22(4):346-50.

PMID: 1392346 DOI: 10.1007/BF00308744.

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