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Risk factors for anastomotic recurrence after primary ileocaecal resection in Crohn’s disease by Gisele Aaltonen; Ilona Keränen; Monika Carpelan-Holmström; Anna Lepistö is a Medicine article available to read on EtoBox.

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## Objective: Ileocaecal resection is the most common operation performed in crohn's disease. our study aimed to identify the risk factors for anastomotic recurrence following primary ileocaecal resection. ## Patients and methods: We retrospectively analysed data from all crohn's disease surgical patients in a single colorectal unit between 2006 and 2016, including all patients who underwent primary ileocaecal resection. we defined anastomotic recurrence as the postoperative need for endoscopic dilatation of the ileocolic anastomosis or neoterminal ileal resection, and used cox regression to determine the risk factors for such recurrence. ## Results: In total, 101 patients underwent primary ileocaecal resection during the study period. nine (8.9%) patients were excluded because of follow-up less than 1 year and 12 (13.0%) patients had anastomotic recurrence. the median follow-up was 4.7 (1.3-10.8) years. at 3 years, 93.1% of patients required no neoterminal ileal resection or dilatation of the ileocolic anastomosis. urgent primary ileocaecal resection [hazard ratio (hr)=4.98, 95% confidence interval (ci)=1.45-17.11, p=0.011], stapled anastomosis (hr=20.34, 95% ci=5.06-81.77, p<0.00

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Author

Gisele Aaltonen; Ilona Keränen; Monika Carpelan-Holmström; Anna Lepistö

Published

2018

Language

EN

Field

Medicine (Health Sciences)