Results of the Eighth Scientific Workshop of ECCO: Diagnosing Postoperative Recurrence of Crohn’s Disease After an Ileocolonic Resection With Ileocolonic Anastomosis
Gabriele Dragoni, Mariangela Allocca, Pär Myrelid, Nurulamin M Noor, Nassim Hammoudi, Pauline Rivière, Marc Ferrante, Yves Panís, Lieven Pouillon, Míriam Mañosa, Edoardo Savarino, Matthieu Allez, Christina Kapizioni, Naila Arebi, Michele Carvello, Annemarie C. de Vries, Eugeni Domènech, Gabriele Bislenghi, Bram Verstockt, Steven R. Brown, Melissa Oliveira Cunha, Willem A. Bemelman, Gianluca Pellino, Paulo Gustavo Kotze, Pauline Rivière, Yves Panís, Marc Ferrante
Abstract
Despite the introduction of potent biologic therapies, many patients with Crohn's disease [CD] still require an ileocolonic resection [ICR] during the course of their disease. Furthermore, the need of redo ICR has not decreased over the past few decades, highlighting the need for better strategies to prevent and treat postoperative recurrence [POR]. The first step to develop such a strategy would be to define and standardise the description of POR with adequate diagnostic instruments. In this article, we will describe the different methodologies used to report POR [endoscopic, histological, radiological, biochemical, clinical, and surgical], and review their potential benefits and limitations, as well as the optimal timing of evaluation.