{"id":8297,"date":"2020-06-15T11:02:08","date_gmt":"2020-06-15T09:02:08","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=8297"},"modified":"2020-06-15T11:02:11","modified_gmt":"2020-06-15T09:02:11","slug":"postoperative-endoscopic-recurrence-of-ileal-lesions-not-anastomotic-lesions-more-likely-to-predict-long-term-outcomes-in-crohns-disease","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/postoperative-endoscopic-recurrence-of-ileal-lesions-not-anastomotic-lesions-more-likely-to-predict-long-term-outcomes-in-crohns-disease\/","title":{"rendered":"Postoperative Endoscopic Recurrence of Ileal Lesions, Not Anastomotic Lesions, More Likely to Predict Long-Term Outcomes in Crohn\u2019s Disease"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Early endoscopic recurrence of Crohn\u2019s disease (CD) following ileocolonic resection predicts clinical recurrence, the need for therapy escalation, and repeat surgery. The significance of mild endoscopic disease recurrence in the neoterminal ileum and\/or at the ileocolonic anastomosis is debated.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a prospective, multicenter French study, 193 patients were followed long term (median follow-up, 3.82 years [interquartile range, 2.56\u20135.41]). A new endoscopic scoring system that describes the anastomotic and ileal lesions separately was applied at ileocolonoscopy performed 6 months after surgery. Patients with ileal lesions, irrespective of severity, relapsed significantly faster than patients with no ileal lesions or patients with lesions limited to the anastomosis only. Patients with anastomotic ulcerations involving more than half of the circumference had a significant increase of occlusive anastomotic complications but only a trend toward a poorer long-term clinical outcome.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Early endoscopic recurrence of Crohn\u2019s disease (CD) following ileocolonic resection predicts clinical recurrence, the need for therapy escalation, and repeat surgery. The significance of mild endoscopic disease recurrence in the neoterminal ileum and\/or at the ileocolonic anastomosis is debated.&nbsp; In a prospective, multicenter French study, 193 patients were followed long term (median follow-up, 3.82 years &#8230; <a title=\"Postoperative Endoscopic Recurrence of Ileal Lesions, Not Anastomotic Lesions, More Likely to Predict Long-Term Outcomes in Crohn\u2019s Disease\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/postoperative-endoscopic-recurrence-of-ileal-lesions-not-anastomotic-lesions-more-likely-to-predict-long-term-outcomes-in-crohns-disease\/\" aria-label=\"Read more about Postoperative Endoscopic Recurrence of Ileal Lesions, Not Anastomotic Lesions, More Likely to Predict Long-Term Outcomes in Crohn\u2019s Disease\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1790],"tags":[2056,1870,1875],"class_list":["post-8297","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-ibd","tag-cd","tag-crohns-disease-2","tag-ibd-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=8297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}