Difference in Recurrence Patterns Between Anastomosis and Strictureplasty After Surgical Treatment for Crohn Disease

• DOI: 10.9738/cc95.1
• Publication Date: 2012-10-25T15:57:41Z
• Authors: Shoichiro Hayakawa; Masayuki Hotokezaka; Takuto Ikeda; Shuichiro Uchiyama; Kazuo Chijiiwa
• Keywords: Adult; Male; Reoperation; Adolescent; Colon; Anastomosis, Surgical; Middle Aged; Endoscopy, Gastrointestinal; Young Adult; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Crohn Disease; Ileum; Intestinal Perforation; Recurrence; Intestine, Small; Humans; Female; Colectomy; Intestinal Obstruction; Retrospective Studies

Abstract This study aimed to investigate whether the initial indication for surgery or type of surgery (strictureplasty or resection) performed determines recurrence patterns in patients with Crohn disease. Recurrence patterns of 41 patients (31 patients: only resection and anastomosis of the intestine, and 10 patients: strictureplasty with/without resection and anastomosis) who underwent operation for recurrent Crohn disease (June 2002–December 2010) were evaluated. Strictureplasty for nonperforating disease was performed at 17 sites, and reoperation was required at 11 sites (10 sites for nonperforating disease and 1 site for perforating disease). There was a significant difference in the recurrence pattern in patients who underwent resection and anastomosis (P < 0.01) and in patients who underwent strictureplasty with resection and anastomosis (P < 0.05) between sites at which resection and anastomosis was performed for nonperforating and for perforating disease. Initial indication for surgery, but not the type of surgery, appeared to determine recurrence patterns.