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Construction of the Ideal Ileocolic Anastomosis in Crohn’s Disease

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Mastery of IBD Surgery

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Abstract

Approximately 80% of patients diagnosed with Crohn’s disease will ultimately require an intestinal resection for complications relating to their inflammatory bowel disease. Unfortunately, endoscopic recurrence of disease is identified in up to 70% of patients who have undergone surgical resection within one year of the operation and nearly one-third of patients will require additional operative interventions. There is still significant room for improvement in terms of efficacy of medical therapy in preventing recurrence in patients with Crohn’s disease in surgical remission. Furthermore, recurrence is most often seen at the anastomotic site or in the neo-terminal ileum. These findings indicate that efforts should be made to identify factors associated with recurrence and optimize anastomotic technique as a key proponent in the management of this difficult disease.

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Acknowledgments

No funds, grants or support was received to complete the study.

Conflict of interest: The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, University of North Carolina Medical Center, Chapel Hill, NC, USA

    Rebecca Brown & Alessandro Fichera

Authors
  1. Rebecca Brown
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  2. Alessandro Fichera
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Corresponding author

Correspondence to Alessandro Fichera .

Editor information

Editors and Affiliations

  1. Colon and Rectal Surgery, University of Chicago, Chicago, IL, USA

    Neil Hyman

  2. Section of Colon and Rectal Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Phillip Fleshner

  3. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Scott Strong

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Brown, R., Fichera, A. (2019). Construction of the Ideal Ileocolic Anastomosis in Crohn’s Disease. In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_22

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  • DOI: https://doi.org/10.1007/978-3-030-16755-4_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16754-7

  • Online ISBN: 978-3-030-16755-4

  • eBook Packages: MedicineMedicine (R0)

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