Prophylaxis of Crohn's disease recurrence: A surgeon's perspective

Ann Gastroenterol Surg. 2020 Jun 24;4(5):514-520. doi: 10.1002/ags3.12368. eCollection 2020 Sep.

Abstract

Management of inflammatory bowel disease has evolved extensively in the last three decades. We have learnt a lot about the pathophysiology and natural history of the disease. New effective classes of drugs with the associated potential morbidity have been introduced. New surgical techniques have been popularized leading to a better understanding of the optimal timing of surgery. The result is a very complex subspecialty of gastroenterology and colorectal surgery called the "IBDologist." Only if we manage these complex patients in the context of a multi-disciplinary team will we be able to obtain outstanding outcomes, specifically with high and sustained remission rates for these patients.

Keywords: Crohn's disease; anastomosis; medical therapy; prophylaxis; recurrence.

Publication types

  • Review