Contemporary Management of Postoperative Crohn's Disease after Ileocolonic Resection.

ABSTRACT: Surgery remains an important treatment modality in the multidisciplinary management of patients with Crohn's disease (CD). To illustrate the recent advances in the management of postoperative CD we outline the contemporary approach to treatment: diagnosing disease recurrence using endoscopy or noninvasive methods and risk stratification underlying decisions to institute treatment. Endoscopic scoring indices are being refined to guide treatment decisions by accurately estimating the risk of recurrence based on endoscopic appearance. The original Rutgeerts score has been modified to separate anastomotic lesions from lesions in the neoterminal ileum. Two further indices, the REMIND score and the POCER index, were recently developed with the same intention. Noninvasive monitoring for recurrenc

SUBMITTER: Hanzel J 

PROVIDER: S-EPMC9693828 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature