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Cited by 344

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

Review article: the natural history of postoperative Crohn's disease recurrence

Buisson, A., Chevaux, J.‐B., Allen, P. B., Bommelaer, G., Peyrin‐Biroulet, L.·2012·Alimentary Pharmacology & Therapeutics

Abstract

Summary: Background: Surgical resection of the diseased bowel in C rohn's disease is unfortunately not curative, and postoperative recurrence remains a problem in these patients. Aim: To review the rates of and risk factors for clinical and endoscopic recurrence in population‐based studies, referral centres and randomised controlled trials. Methods: We searched MEDLINE (source PUBMED, 1966 to S eptember, 2011). Results: In randomised controlled trials, clinical recurrence in the first year after surgery occurred in 10–38% of patients, whereas endoscopic recurrence in the first year was reported in 35–85% of patients. In population‐based studies, approximately half of patients experienced clinical recurrence at 10 years. In referral centres, 48–93% of the patients had endoscopic lesions (R utgeerts’ score ≥1) in the neoterminal ileum within 1 year after surgery, whereas 20–37% had symptoms suggestive of clinical recurrence. Three years after surgery, the endoscopic postoperative recurrence rate increased to 85–100%, and symptomatic recurrence occurred in 34–86% of patients. Smoking is the strongest risk factor for postoperative recurrence, increasing by twofold, the risk of clinical recurrence. Prior intestinal resection, penetrating behaviour, perianal disease and extensive bowel disease (>50 cm) are established risk factors for postoperative recurrence. Risk factors for postoperative recurrence remain poorly defined in population‐based cohorts. Conclusion: Endoscopic and clinical postoperative recurrence remains common in patients with C rohn's disease, and the identification of risk factors may allow targeted strategies to reduce this recurrence rate.

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Metadata

Authors
Buisson, A., Chevaux, J. ‐., Allen, P. B., Bommelaer, G., & Peyrin‐Biroulet, L.
Venue
Alimentary Pharmacology & Therapeutics
Publisher
Wiley
Published
2012-02-07
Volume
35
Issue
6
Pages
625-633
ISSN
  • 0269-2813 (ISSN-L)
  • 1365-2036
OpenAlex
W2093421107
Cited by
344
References
53
FWCI
11.16
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Review article: the natural history of postoperative Crohn's disease recurrence. https://app.cochat.ai/papers/10.1111/j.1365-2036.2012.05002.x
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Buisson, A., Chevaux, J. ‐., Allen, P. B., Bommelaer, G., & Peyrin‐Biroulet, L. (2012). Review article: the natural history of postoperative Crohn's disease recurrence. Alimentary Pharmacology & Therapeutics. https://doi.org/10.1111/j.1365-2036.2012.05002.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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