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Scandinavian Journal of Gastroenterology Volume 55, 2020 - Issue 7
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Original Article

Ileocolic anastomotic inflammation after resection for Crohn’s disease indicates disease recurrence: a histopathologic study

Robert P. HirtenThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Correspondence[email protected]
,
Simran MashianaDepartment of Pathology, Cell and Molecular-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
,
Benjamin L. CohenThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA;
,
Bruce E. SandsThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA;
,
Jean Frederic ColombelThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA;
&
Noam HarpazThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA; ;Department of Pathology, Cell and Molecular-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Pages 795-799 | Received 17 Feb 2020, Accepted 03 Jun 2020, Published online: 25 Jun 2020

References

  • Rutgeerts P, Geboes K, Vantrappen G, et al. Predictability of the postoperative course of Crohn’s disease. Gastroenterology. 1990;99(4):956–963.
  • Hirten RP, Castaneda D, Lopatin S, et al. Anastomotic ulcers after ileocolic resection for Crohn’s disease are common and predict recurrence. Inflamm Bowel Dis. 2019. DOI:10.1093/ibd/izz224
  • Vuitton L, Marteau P, Sandborn WJ, et al. IOIBD technical review on endoscopic indices for Crohn’s disease clinical trials. Gut. 2016;65(9):1447–1455.
  • Chiu CJ, McArdle AH, Brown R, et al. Intestinal mucosal lesion in low-flow states. I. A morphological, hemodynamic, and metabolic reappraisal. Arch Surg. 1970;101(4):478–483.
  • Cerilli LA, Greenson JK. The differential diagnosis of colitis in endoscopic biopsy specimens: a review article. Arch Pathol Lab Med. 2012;136(8):854–864.
  • Kleer CG, Appelman HD. Surgical pathology of Crohn’s disease. Surg Clin North Am. 2001;81(1):13–30.
  • Domenech E, Manosa M, Bernal I, et al. Impact of azathioprine on the prevention of postoperative Crohn’s disease recurrence: results of a prospective, observational, long-term follow-up study. Inflamm Bowel Dis. 2008;14:508–513.
  • Riviere P, Vermeire S, Irles-Depe M, et al. No change in determining Crohn’s disease recurrence or need for endoscopic or surgical intervention with modification of the Rutgeerts’ Scoring System. Clin Gastroenterol Hepatol. 2019;17(8):1643–1645.
  • Chari ST, Keate RF. Ileocolonic anastomotic ulcers: a case series and review of the literature. Am J Gastroenterol. 2000;95(8):1239–1243.

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