A Practical Approach to Preventing Postoperative Recurrence in Crohn's Disease

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Date: May 2016
From: Current Gastroenterology Reports(Vol. 18, Issue 5)
Publisher: Springer
Document Type: Report
Length: 179 words

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Abstract :

To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s11894-016-0499-8 Byline: Jana G. Hashash (1), Miguel Regueiro (1) Keywords: Postoperative Crohn's disease; Recurrence; Prevention; Anti-tumor necrosis factor; Immunomodulator Abstract: Postoperative Crohn's disease recurrence remains common, and preventing additional surgery remains a challenge. A critical step to postoperative management of Crohn's disease is being able to identify patients who should receive immediate postoperative therapy from the patients who can wait for recurrence prior to starting medications. All patients, regardless of their risk for recurrence, are advised to undergo a colonoscopy at 6 to 12 months after surgery to evaluate for endoscopic evidence of Crohn's disease. Further management of patients depends on symptoms and the presence or absence of endoscopic recurrence. Author Affiliation: (1) Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine, University of Pittsburgh Medical Center, Mezzanine Level, C Wing, 200 Lothrop Street, Pittsburgh, PA, 15213, USA Article History: Registration Date: 08/03/2016 Online Date: 16/04/2016 Article note: This article is part of the Topical Collection on Inflammatory Bowel Disease

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Gale Document Number: GALE|A449740990