Advertisement

Defining the role of abdominal surgery and its impact on the disease course in patients with Crohn's disease: Unsolved issues and novel insights

Published:February 09, 2023DOI:https://doi.org/10.1016/j.dld.2023.01.159
      Avellaneda and colleagues [

      Avellaneda N., Coy C.S.R., Fillmann H.S., et al. Earlier surgery is associated to reduced postoperative morbidity in ileocaecal Crohn's disease: results from SURGICROHN - LATAM study. Digestive and Liver Disease: doi:10.1016/j.dld.2022.09.011.

      ] performed a study in several Latin American hospitals, aiming to assess the outcomes of surgery for abdominal Crohn's disease (CD), comparing patients in whom surgery was performed because of a complication (stricture, fistulae), with those who underwent surgery at an earlier stage of the disease. The authors retrospectively collected data on 337 patients operated on over 8 years in ten inflammatory bowel diseases (IBD) specialised, academic, tertiary centres located in four Latin American countries.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Digestive and Liver Disease
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Avellaneda N., Coy C.S.R., Fillmann H.S., et al. Earlier surgery is associated to reduced postoperative morbidity in ileocaecal Crohn's disease: results from SURGICROHN - LATAM study. Digestive and Liver Disease: doi:10.1016/j.dld.2022.09.011.

        • Latella G.
        • Caprilli R.
        • Travis S.
        In favour of early surgery in Crohn's disease: a hypothesis to be tested.
        J Crohns Colitis. 2011; 5: 1-4
        • Cristaldi M.
        • Sampietro G.M.
        • Danelli P.
        • Bollani S.
        • Porro G.B.
        • Taschieri A.M.
        Long-term results and multivariate analysis of prognostic factors in 138 consecutive patients operated on for Crohn's disease using 'bowel-sparing' techniques.
        Am J Surg. 2000; 179: 266-270
        • de Groof E.J.
        • Stevens T.W.
        • Eshuis E.J.
        • et al.
        Cost-effectiveness of laparoscopic ileocaecal resection versus infliximab treatment of terminal ileitis in Crohn's disease: the LIR!C Trial.
        Gut. 2019; 68: 1774-1780
        • Celentano V.
        • O'Leary D.P.
        • Caiazzo A.
        • et al.
        Longer small bowel segments are resected in emergency surgery for ileocaecal Crohn's disease with a higher ileostomy and complication rate.
        Tech Coloproctol. 2019; 23: 1085-1091
        • Pellino G.
        • Keller D.S.
        • Sampietro G.M.
        • et al.
        Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): Crohn's disease.
        Tech Coloproctol. 2020; 24: 421-448
        • Bemelman W.A.
        • Warusavitarne J.
        • Sampietro G.M.
        • et al.
        ECCO-ESCP consensus on surgery for crohn's disease.
        J Crohns Colitis. 2018; 12: 1-16
        • Sebastian S.
        • Segal J.P.
        • Hedin C.
        • et al.
        ECCO topical review: roadmap to optimal peri-operative care in IBD.
        J Crohns Colitis. 2022; https://doi.org/10.1093/ecco-jcc/jjac129
        • Cosnes J.
        • Cattan S.
        • Blain A.
        • et al.
        Long-term evolution of disease behavior of Crohn's disease.
        Inflamm Bowel Dis. 2002; 8: 244-250
        • Rieder F.
        • Latella G.
        • Magro F.
        • et al.
        European Crohn's and colitis organisation topical review on prediction, diagnosis and management of fibrostenosing Crohn's disease.
        J Crohns Colitis. 2016; 10: 873-885
        • Colombo F.
        • Frontali A.
        • Baldi C.
        • et al.
        Repeated surgery for recurrent Crohn's disease: does the outcome keep worsening operation after operation? A comparative study of 1224 consecutive procedures.
        Updates Surg. 2022; 74: 73-80
        • Stevens T.W.
        • Haasnoot M.L.
        • D'Haens G.R.
        • et al.
        Laparoscopic ileocaecal resection versus infliximab for terminal ileitis in Crohn's disease: retrospective long-term follow-up of the LIR!C trial.
        Lancet Gastroenterol Hepatol. 2020; 5: 900-907
        • Pellino G.
        • Rottoli M.
        • Mineccia M.
        • et al.
        Segmental versus total colectomy for Crohn's disease in the biologic era: results from The SCOTCH international, multicentric study.
        J Crohns Colitis. 2022; 16: 1853-1861
        • Mineccia M.
        • Maconi G.
        • Daperno M.
        • et al.
        Has the removing of the mesentery during Ileo-colic resection an impact on post-operative complications and recurrence in crohn's disease? Results from the resection of the mesentery study (Remedy).
        J Clin Med. 2022; 11: 1961
        • Gomollón F.
        Surgery in ileocaecal Crohn's disease: one more option, sometimes the best?.
        Lancet Gastroenterol Hepatol. 2017; 2: 768-769

      Linked Article