Anastomotic Configuration and Temporary Diverting Ileostomy Do Not Increase Risk of Anastomotic Stricture in Postoperative Crohn's Disease.

ABSTRACT:

Introduction

Surgical management of Crohn's disease (CD) is common. Postoperative complications include anastomotic stricturing (AS). The natural history and risk factors for AS have not been elucidated.

Methods

A retrospective cohort study of patients with CD who underwent ileocolonic resection (ICR) with ≥1 postoperative ileocolonoscopy between 2009 and 2020. Postoperative ileocolonoscopies with corresponding cross-sectional imaging were evaluated for evidence of AS without neoterminal ileal extension. Severity of AS and endoscopic intervention at time of detection were collected. Primary outcome was development of AS. Secondary outcome was time to AS detection.

Results

A total of 602 adult patients with CD underwent ICR with postoperative ileocolonoscopy. Of these,

SUBMITTER: Bachour SP 

PROVIDER: S-EPMC10921865 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature