Long‐term outcomes following ileocolic resection for Crohn's disease: does earlier elective resection affect disease recurrence rates?

Background Surgical resection in Crohn's disease is sometimes the only alternative treating disease complications or refractory disease. The implications of early resection on disease course are still debatable. We aimed to assess the influence of preoperative disease duration on long‐term post...

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Veröffentlicht in:ANZ journal of surgery 2023-12, Vol.93 (12), p.2910-2920
Hauptverfasser: Assaf, Dan, Hazzan, David, Laks, Shachar, Segev, Lior
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Sprache:eng
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Zusammenfassung:Background Surgical resection in Crohn's disease is sometimes the only alternative treating disease complications or refractory disease. The implications of early resection on disease course are still debatable. We aimed to assess the influence of preoperative disease duration on long‐term postoperative disease course. Methods A retrospective analysis of all Crohn's disease patients who underwent an elective primary ileocolic resection between 2010 and 2021 in a single tertiary medical center. The cohort was divided based on disease duration, Group A (47 patients) had a disease duration shorter than 3 years (median of 1 year) and Group B (139 patients) had a disease duration longer than 3 years (median of 11 years). Results Surgeries were less complex among Group A as noted by higher rates of laparoscopic assisted procedures (68.1% vs. 45.3%, P = 0.006), shorter surgery duration (134 vs. 167 min, P 
ISSN:1445-1433
1445-2197
1445-2197
DOI:10.1111/ans.18669