Surgical Strategies to Reduce Postoperative Recurrence of Crohn's Disease After Ileocolic Resection.

ABSTRACT: Postoperative recurrence after ileocaecal resection for fibrostenotic terminal ileal Crohn's disease is a significant issue for patients as it can result in symptom recurrence and requirement for further surgery. There are very few modifiable factors, aside from smoking cessation, that can reduce the risk of postoperative recurrence. Until relatively recently, the surgical technique used for resection and anastomosis had little or no impact on postoperative recurrence rates. Novel surgical techniques such as the Kono-S anastomosis and extended mesenteric excision have shown promise as ways to reduce postoperative recurrence rates. This manuscript will review and discuss the evidence regarding a range of surgical techniques and their potential role in reducing disease recurrence. Some of th

SUBMITTER: Reynolds IS 

PROVIDER: S-EPMC8718441 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature