医学
克罗恩病
切除术
吻合
放射性武器
疾病
外科
普通外科
内科学
作者
Gabriele Dragoni,Mariangela Allocca,Pär Myrelid,Nurulamin M Noor,Nassim Hammoudi,Pauline Rivière,Marc Ferrante,Yves Panís,Lieven Pouillon,Míriam Mañosa,Edoardo Savarino,Matthieu Allez,Christina Kapizioni,Naila Arebi,Michele Carvello,Annemarie C. de Vries,Eugeni Domènech,Gabriele Bislenghi,Bram Verstockt,Steven R. Brown
标识
DOI:10.1093/ecco-jcc/jjad055
摘要
Despite the introduction of potent biologic therapies, many patients with Crohn's disease [CD] still require an ileocolonic resection [ICR] during the course of their disease. Furthermore, the need of redo ICR has not decreased over the past few decades, highlighting the need for better strategies to prevent and treat postoperative recurrence [POR]. The first step to develop such a strategy would be to define and standardise the description of POR with adequate diagnostic instruments. In this article, we will describe the different methodologies used to report POR [endoscopic, histological, radiological, biochemical, clinical, and surgical], and review their potential benefits and limitations, as well as the optimal timing of evaluation.
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