Results of the Eighth Scientific Workshop of ECCO: Pathophysiology and Risk Factors of Postoperative Crohn's Disease Recurrence after an Ileocolonic Resection

Pauline Rivière, Gabriele Bislenghi, Nassim Hammoudi, Bram Verstockt, Steven Brown, Melissa Oliveira-Cunha, Willem Bemelman, Gianluca Pellino, Paulo Gustavo Kotze, Marc Ferrante, 8th Scientific Workshop of the European Crohn’s and Colitis Organisation

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Abstract

Postoperative recurrence [POR] after an ileocolonic resection with ileocolonic anastomosis is frequently encountered in patients with Crohn's disease. The 8th Scientific Workshop of ECCO reviewed the available evidence on the pathophysiology and risk factors for POR. In this paper, we discuss published data on the role of the microbiome, the mesentery, the immune system and the genetic background. In addition to investigating the causative mechanisms of POR, identification of risk factors is essential to tailor preventive strategies. Potential clinical, surgical and histological risk factors are presented along with their limitations. Emphasis is placed on unanswered research questions, guiding prevention of POR based on individual patient profiles.
Original languageEnglish
Pages (from-to)1557-1568
Number of pages12
JournalJournal of Crohn's & Colitis
Volume17
Issue number10
DOIs
Publication statusPublished - 1 Oct 2023

Keywords

  • Crohn's disease
  • mesentery
  • microbiome
  • postoperative recurrence
  • surgery

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