“…In the case of ulcerative colitis, this is not a new observation. Since the first report from Australia in the 1950s, 14 there has been an abundance of studies showing ulcerative colitis as a protective factor and, sometimes, former smoking being associated with an increased risk. 15 The underlying biologic mechanism still remains unknown but for Crohn's disease, there is a reasonable biologic model for an increased risk if one assumes that part of the disease process is a multifocal gastrointestinal infarction, which could be aggravated by cigarette smoke.…”