title: Surgical recurrence in Crohn's disease: Are we getting better?
abstract: Crohn's disease (CD) still remains a challenging chronic inflammatory disorder, both for colorectal surgeons and gastroenterologists. The need for recurrent surgery following primary intestinal resection is still considerable, though recent evidence suggested a declining rate of recurrence. Several conflicting surgical parameters have been identified that might impact on the postoperative outcome positively, such as access to the abdomen, anastomotic configuration or type of disease. Additionally, promising results have been achieved with the increased use of immunosuppressive medications in CD. Consequently, the question arises if we are getting better as a result of novel medical and surgical strategies.
authors.affiliation: Ivan Kristo, Anton Stift, Michael Bergmann, Stefan Riss, Department of Surgery, Medical University of Vienna, A-1090 Vienna, Austria.
authors.forename: Ivan
authors.initials: I
authors.lastname: Kristo
authors.affiliation: Ivan Kristo, Anton Stift, Michael Bergmann, Stefan Riss, Department of Surgery, Medical University of Vienna, A-1090 Vienna, Austria.
authors.forename: Anton
authors.initials: A
authors.lastname: Stift
authors.affiliation: Ivan Kristo, Anton Stift, Michael Bergmann, Stefan Riss, Department of Surgery, Medical University of Vienna, A-1090 Vienna, Austria.
authors.forename: Michael
authors.initials: M
authors.lastname: Bergmann
authors.affiliation: Ivan Kristo, Anton Stift, Michael Bergmann, Stefan Riss, Department of Surgery, Medical University of Vienna, A-1090 Vienna, Austria.
authors.forename: Stefan
authors.initials: S
authors.lastname: Riss
mesh_terms: D003424:Crohn Disease / Q000175:diagnosis / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000592:standards; D006801:Humans; D017410:Practice Guidelines as Topic; D012008:Recurrence; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Crohn’s disease; Inflammatory bowel disease; Recurrence; Surgical recurrence