Reoperative rates for Crohn's disease following strictureplasty

@article{Ozuner1996ReoperativeRF,
  title={Reoperative rates for Crohn's disease following strictureplasty},
  author={Gokhan Ozuner and Victor W. Fazio and Ian C. Lavery and Jeffrey w. Milsom and Scott Arthur Strong},
  journal={Diseases of the Colon \& Rectum},
  year={1996},
  volume={39},
  pages={1199-1203}
}
Background: In Crohn's disease, ten-year reoperative recurrence rates after resection range from 30 to 53 percent. To determine the effect of strictureplasty on reoperative “recurrence” rates, experience at a single tertiary care institution was reviewed. PATIENTS AND MATERIALS: Records of all patients who underwent strictureplasty for Crohn's disease from June 1984 to July 1994 at a tertiary care institution were reviewed. Data collected included duration of disease, medical and surgical… 
Strictureplasty in Crohn’s Disease: Short and Long-Term Follow-Up
TLDR
A systematic retrospective review of the patients suffering from Crohn’s disease who underwent strictureplasties during a 10-year period confirmed that strictUREplasty is a safe and efficient procedure in selected patients undergoing surgery for obstructive Crohn's disease.
An audit of strictureplasty for small-bowel crohn's disease
TLDR
Strictureplasty is a safe and efficacious procedure for small-bowel Crohn's disease in the long-term, and the majority of patients with preoperative weight loss gained weight.
Strictureplasty for Treatment of Crohn’s Disease: an ACS-NSQIP Database Analysis
TLDR
Strictureplasty as treatment for CD is decreasing in the ACS-NSQIP database, and operative characteristics, outcome variables, and trends in its use are examined using a large national database.
Resection Leads to Less Recurrence Than Strictureplasty in a Paediatric Population with Obstructive Crohn's Disease
TLDR
It is suggested that resection is preferable to strictureplasty in treating obstructive Crohn's disease in children and adolescents, allowing for variations in disease duration, severity, and previous medical management.
Safety and Efficacy of Strictureplasty for Crohn’s Disease: A Systematic Review and Meta-Analysis
TLDR
Strictureplasty is a safe and effective procedure for jejunoileal Crohn’s disease, including ileocolonic recurrence, and it has the advantage of protecting against further small bowel loss, however, the place for strictureplasties is less well defined in duodenal and colonic diseases.
Assessment of complications following strictureplasty for small bowel Crohn’s Disease
TLDR
Most of the patients in this study have recurrent diffuse intestinal CD requiring synchronous bowel resection, and strictureplasty is a safe and effective bowel-sparing surgical option in this group of patients.
Strategy for Surgical Management of Ileocolonic Anastomotic Recurrence in Crohn's Disease
TLDR
Strictureplasty is useful for short ileocolonic recurrence in patients with multifocal small bowel disease or previous extensive resection, and early recurrence was not observed, although the duration of follow-up was short.
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References

SHOWING 1-10 OF 23 REFERENCES
Long-term follow-up of strictureplasty in Crohn's disease
TLDR
Patients with obstructive Crohn's disease undergoing primary strictureplasties had at least one previous small bowel resection, and the median age was 34 years, the median weight gain was 4 kg, and two-thirds of the patients were weaned off steroids.
Ten‐year experience of strictureplasty for obstructive Crohn's disease
TLDR
Strictureplasty is a safe and effective procedure in selected patients undergoing surgery for obstructive Crohn's disease and its lesions which are most amenable for this procedure are short, fibrous strictures.
Crohn's disease: risk of recurrence and reoperation in a defined population.
TLDR
An epidemiological survey of inflammatory bowel disease in the Leiden Health Care Region of the Netherlands found that surgery is not permanently curative, but the need for further resection may be lower than previously suggested.
The problem of postoperative recurrence of Crohn's disease.
  • D. Sachar
  • Medicine
    The Medical clinics of North America
  • 1990
Crohn's disease. A long-term study of the clinical course in 186 patients.
TLDR
A series of 186 patients with Crohn's disease treated during the period 1956--1968 was followed up and patients who had undergone a primary "radical" resection needed fewer re-operations, had fewer recurrences and a better "quality of life" than patients with a "non-radical" first operation.
Factors affecting recurrence following resection for Crohn's disease
TLDR
The records of 187 patients with Crohn's disease who underwent resectional surgery were analyzed and found that patients with predominantly large bowel disease were found to have a higher rate of re-resection than other patients with small bowel involvement.
Recurrence after strictureplasty or resection for Crohn's disease
TLDR
The site specific operation‐free intervals in 41 patients with small bowel Crohn's disease treated by strictureplasty were not significantly different from the similar intervals in41 patients treated by a small bowel resection.
Postoperative Recurrence in Crohn's Disease: The Effect of the Initial Length of Bowel Resection and Operative Procedure
TLDR
It is concluded that technically adequate resections of 25 to 50 cm of the small bowel or the combined small and large bowel are associated with a decreased probability of re-operation or rehospitalization after the initial surgery for Crohn's disease.
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