Surgery for intestinal Crohn's disease recurrence

Brouquet, Antoine; Blanc, B; Brétagnol, F.; Valleur, Patrice; Bouhnik, Yoram; Panis, Yves

doi:10.1016/j.surg.2010.02.001

Cited by 36 publications

(34 citation statements)

References 32 publications

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“…Surgery-related death accounted for 18.63% of all complications. However, Brouquet et al [29] reported that the rate of major complications of surgery was less than 10%, which is lower than what we observed. Additionally, the surgery rate in Western countries is higher than that in China.…”

Section: Discussioncontrasting

confidence: 88%

Clinical literature review of 1858 Crohn's disease cases requiring surgery in China

Peng

Zhang

et al. 2015

WJG

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Section: Discussioncontrasting

confidence: 88%

Clinical literature review of 1858 Crohn's disease cases requiring surgery in China

Peng

Zhang

et al. 2015

WJG

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“…19 These results have also to be considered in the light of the important rate of procedures involving a recurrent disease, which is a suggested postoperative complication risk factor. 39 On the contrary, the overall rate of conversion to laparotomy reported in this study is 13%, which might be regarded as relatively high, as compared with most recent reports. Nguyen et al 40 reported a 2% conversion after 335 consecutive laparoscopically managed CDs, and The university of Chicago reported a 10.9% conversion rate after laparoscopic management of CD colitis.…”

Section: Discussioncontrasting

confidence: 83%

“…Nguyen et al 40 reported a 2% conversion after 335 consecutive laparoscopically managed CDs, and The university of Chicago reported a 10.9% conversion rate after laparoscopic management of CD colitis. 41 However, this study included a significant rate of complex cases, presenting recurrent CD (12%) 24,39 or intra-abdominal sepsis such as abscess and/or fistula (16%), 42 which have been suggested to be associated with a higher rate of conversion. Interestingly, the rates of conversion for these complex patients with CD are, in this study, higher than those observed with technically demanding rectal procedures such as IPAA.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Approach for Inflammatory Bowel Disease Is a Real Alternative to Open Surgery

et al. 2014

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“…This study suggested that there was a significant increase in overall postoperative morbidity in patients undergoing surgery for recurrent disease. [15]. Several studies have been published since 2010, many of which have focused on the feasibility of a laparoscopic approach in these patients with recurrent CD [16][17][18][27][28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

What is the outcome for patients undergoing more than two ileocolonic resections for recurrent Crohn's disease? A comparative study of 569 consecutive procedures

et al. 2019

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Aim To assess the outcome for patients undergoing repeated ileocolonic resection for recurrent Crohn's disease (CD).Method All patients undergoing ileocolonic resection for terminal ileal CD between 1998 and 2016 in our tertiary care centre were retrospectively reviewed.Results Between 1998 and 2016, 569 ileocolonic resections were performed for CD: 403 of these were primary resections (1R, 71%), 107 second resections (2R, 19%) and 59 were third (or more) resections (> 2R, 10%). The laparoscopic approach rate was significantly less in the > 2R group (20/59, 34%) compared with the 2R (71/107, 66%; P = 0.002) and 1R (366/403, 91%) groups. However, conversion to an open approach did not show any difference between the three groups [1R group 46/366 (13%) vs 2R group 14/71 (20%) vs > 2R group 3/20 (15%); 1R vs > 2R P = 0.750; 2R vs > 2R P = 0.633]. Postoperative morbidity was significantly increased in the > 2R (28/59, 52%) group compared with the 1R group (115/403, 29%; P < 0.001) but showed no difference compared with the 2R group (43/107, 40%; P = 0.365). There was no difference between the groups in the incidence of severe postoperative morbidity (Clavien-Dindo ≥ 3) [1R group n = 24 (6%); 2R group n = 6 (6%); > 2R group n = 4, 7%; 1R vs > 2R P = 0.865, 2R vs > 2R P = 0.761].Conclusion Although the overall morbidity rate was higher, repeated surgery for recurrent CD in patients undergoing three or more ileocolonic resections was not associated with an increased risk of severe postoperative morbidity in our series.What does this paper add to the literature? This is the first study to focus on patients undergoing three or more ileocolonic resections for recurrent Crohn's disease. It highlights that, although overall the postoperative morbidity rate was higher, repeated surgery was not associated with an increased rate of severe postoperative morbidity.

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Surgery for intestinal Crohn's disease recurrence

Cited by 36 publications

References 32 publications

Clinical literature review of 1858 Crohn's disease cases requiring surgery in China

Clinical literature review of 1858 Crohn's disease cases requiring surgery in China

Laparoscopic Approach for Inflammatory Bowel Disease Is a Real Alternative to Open Surgery

What is the outcome for patients undergoing more than two ileocolonic resections for recurrent Crohn's disease? A comparative study of 569 consecutive procedures

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