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Postoperative recurrence of Crohn's disease: Pathophysiology and prevention

โœ Scribed by Dr. Geert D'Haens; Paul Rutgeerts


Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
944 KB
Volume
5
Category
Article
ISSN
1078-0998

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โœฆ Synopsis


Postoperative recurrence of Crohn's disease is often inevitable. Certain risk factors such as smoking, young age, and a perforating disease behavior have been identified. Patients running an enhanced risk should be treated with mesalamine or, with higher success rates, with azathioprine. An en-doscopic evaluation of the neoterminal ileum 6 to 12 months after surgery provides relevant information predicting the further clinical course and can be used as a guide to adjust medical therapy.


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