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Recurrent Crohn´s Disease after Ileocaecal Resection

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Recurrence of Crohn´s diseaase after ileocaecal resection is a frequent feature of this disease. Endoscopic lesions can be seen as early as two to three months after surgery and the recurrent disease is almost always localized just proximalt to the ileocolonic anastomisis. Within one year signs of recurrence are seen in more than 70 % of the patients. Fortunately, the recurrent disease in the distal small bowel does not always cause symptoms. According to Rutgeerts et al, 85% have endoscopic recurrence three years after operation, but only about one third of all patients have symtoms. A part of the patients eventually need a new resection because of recurrent disease. 5-aminosalicylic acid, metronidazole and azathioprine have been used in the prevention of symtomatic recurrence.

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December 5, 2011