title: Endoscopic Evaluation and Management of the Postoperative Crohn's Disease Patient.
abstract: Approximately 70% of patients with Crohn's disease (CD) undergo surgical resection for the treatment of medically refractory disease or its complications. The sickest cohort of CD patients experience rapid postoperative relapse at the anastomotic site. Over the past 2 decades, the types of surgical anastomoses used in CD reconstruction have changed; end-to-side and end-to-end anastomoses have been surpassed by the more rapidly created side-to-side anastomoses. This article provides a review of the timing and purpose of endoscopic evaluation in postoperative CD patients and pragmatic information regarding interpretation of endoscopic findings at the different types of surgical anastomoses after ileocecal resection.
authors.affiliation: Division of Gastroenterology, Hepatology and Nutrition, UPMC-Presbyterian Hospital, University of Pittsburgh School of Medicine, 200 Lothrop Street, Mezzanine Level C Wing PUH, Pittsburgh, PA 15213, USA.
authors.forename: Jana G
authors.initials: JG
authors.lastname: Hashash
authors.affiliation: Division of Gastroenterology, Hepatology and Nutrition, Clinical and Translational Science, UPMC-Presbyterian Hospital, University of Pittsburgh School of Medicine, 200 Lothrop Street, Mezzanine Level C Wing PUH, Pittsburgh, PA 15213, USA. Electronic address: binion@pitt.edu.
authors.forename: David G
authors.initials: DG
authors.lastname: Binion
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects* / Q000379:methods; D003424:Crohn Disease / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012008:Recurrence
keywords: Anastomotic stricture; Balloon dilatation; Crohn's disease; End-to-end anastomosis; End-to-side anastomosis; Rutgeerts endoscopic score; Side-to-side anastomosis