Predictors of recurrence of Crohn's disease after ileocolectomy: A review

Tara M. Connelly, Evangelos Messaris

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

Recurrence after ileocolectomy for Crohn's disease (CD) is common and occurs in up to 80% of patients. Such recurrence can result in repeated surgical interventions, an increased need for medical treatment and, frequently, an impaired quality of life. The aim of this overview is to provide a summary of the factors associated with disease recurrence after ileocolectomy for CD. Recurrence can be measured clinically or endoscopically using established scoring systems. Radiology and serologic tests can also be used, oftentimes in conjunction with endoscopy and/or clinical findings. Many patient and operative factors as well as pharmacologic treatments have been studied as potential predictors of recurrence. Of these, only smoking and immunomodulatory or biologic medical treatment have repeatedly been shown to effect recurrence. Genetic predictors have been studied and suggested but further evaluation in larger cohorts is necessary. This paper highlights validated, reproducible scoring systems for recurrence and the key findings of studies including patient demographics, operative techniques, various pharmacological treatments and histological findings as predictors of recurrence post ileocolectomy in CD.

Original languageEnglish (US)
Pages (from-to)14393-14406
Number of pages14
JournalWorld journal of gastroenterology
Volume20
Issue number39
DOIs
StatePublished - Oct 21 2014

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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