Top 100 Most-Disruptive Papers

The 100 most-disruptive papers by the CD5 disruption index (iCite). Papers under 5 years old are excluded — the forward-citation window is too short to score disruption reliably.

#PaperAltmetricCD index
1Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease.
Lee EC · 1982 · Ann R Coll Surg Engl
+0.760
214 cites
2Ileostomy in pregnancy.
Hudson CN · 1972 · Proc R Soc Med
+0.737
36 cites
3Is segmental colitis a complication of diverticular disease?
Sladen GE · 1984 · Dis Colon Rectum
+0.485
50 cites
4Laparoscopic colectomy.
Phillips EH · 1992 · Ann Surg
+0.296
348 cites
5Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease.
Hellers G · 1980 · Gut
+0.292
364 cites
6An Update on the Medical Management of Inflammatory Pouch Complications.
Quinn KP · 2020 · Am J Gastroenterol
+0.221
29 cites
7Ultrasound of colon diverticulitis.
Puylaert JB · 2012 · Dig Dis
+0.215
57 cites
8["Strictureplasty" in Crohn disease].
Alexander-Williams J · 1982 · Chirurg
+0.212
23 cites
9The role of colonoscopy in the differential diagnosis of inflammatory bowel disease.
Waye JD · 1977 · Gastrointest Endosc
+0.185
74 cites
10Natural history of recurrent Crohn's disease at the ileocolonic anastomosis after curative surgery.
Rutgeerts P · 1984 · Gut
+0.144
639 cites
11The effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel.
Burman JH · 1971 · Gut
+0.141
93 cites
12Some factors influencing the outcome of stoma surgery.
Leenen LP · 1989 · Dis Colon Rectum
+0.141
88 cites
13Repair of persistent perineal sinuses by means of a pedicle flap of musculus gracilis. Case report.
Bartholdson L · 1975 · Scand J Plast Reconstr Surg
+0.135
41 cites
14Predictability of the postoperative course of Crohn's disease.
Rutgeerts P · 1990 · Gastroenterology
+0.129
1,458 cites
15Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn's disease.
Milsom JW · 2001 · Dis Colon Rectum
+0.127
247 cites
16Bypass enteritis. A new complication of jejunoileal bypass for obesity.
Passaro E · 1976 · Am J Surg
+0.124
92 cites
17Endoscopic balloon dilation of colonic and ileo-colonic Crohn's strictures: long-term results.
Breysem Y · 1992 · Gastrointest Endosc
+0.118
93 cites
18Serum antibodies to Bacteroides species in chronic inflammatory bowel disease.
Tvede M · 1983 · Scand J Gastroenterol
+0.109
42 cites
19The fate of ileorectal anastomosis in Crohn's disease.
Burman JH · 1971 · Gut
+0.104
57 cites
20Primary sclerosing cholangitis: a review of its clinical features, cholangiography, and hepatic histology.
Chapman RW · 1980 · Gut
+0.102
739 cites
21The extra-intestinal complications of Crohn's disease and ulcerative colitis: a study of 700 patients.
Greenstein AJ · 1976 · Medicine (Baltimore)
+0.099
1,062 cites
22Primary closure of perineal wound after proctocolectomy or rectal excision.
Hultén L · 1971 · Acta Chir Scand
+0.093
36 cites
23Laparoscopically assisted ileocolectomy in Crohn's disease.
Milsom JW · 1993 · Surg Laparosc Endosc
+0.091
77 cites
24Enteral Clostridium difficile, an emerging cause for high-output ileostomy.
Williams RN · 2009 · J Clin Pathol
+0.090
32 cites
25Aetiology of disruption of intestinal anastomoses.
Irvin TT · 1973 · Br J Surg
+0.088
326 cites
26Preliminary experience with laparoscopic intestinal surgery for Crohn's disease.
Ludwig KA · 1996 · Am J Surg
+0.084
99 cites
27Laparoscopic surgery for inflammatory bowel disease.
Liu CD · 1995 · Am Surg
+0.078
45 cites
28Risk factors for intra-abdominal sepsis after surgery in Crohn's disease.
Yamamoto T · 2000 · Dis Colon Rectum
+0.077
281 cites
29Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn's disease.
Dunker MS · 1998 · Surg Endosc
+0.077
290 cites
30Operative technique in surgery for Crohn's disease and its relationship to recurrence.
Colcock BP · 1973 · Surg Clin North Am
+0.074
25 cites
31Unexplained bronchopulmonary disease with inflammatory bowel disease.
Kraft SC · 1976 · Arch Intern Med
+0.073
201 cites
32Fecal Microbiota Transplant for Recurrent Clostridium difficile Infection in Pediatric Inflammatory Bowel Disease.
Cho S · 2019 · J Pediatr Gastroenterol Nutr
+0.071
23 cites
33Results of surgery for inflammatory bowel disease: a further survey of one hospital region.
Ritchie JK · 1974 · Br Med J
+0.069
53 cites
34Computed tomography in Crohn's disease.
Berliner L · 1982 · Am J Gastroenterol
+0.062
45 cites
35Effect of faecal stream diversion on recurrence of Crohn's disease in the neoterminal ileum.
Rutgeerts P · 1991 · Lancet
+0.060
598 cites
36PLACE OF A DOUBLE-BARRELLED ILEOSTOMY IN ULCERATIVE COLITIS AND CROHN'S DISEASE OF THE COLON: A PRELIMINARY REPORT.
TRUELOVE SC · 1965 · Br Med J
+0.056
66 cites
37Eggerthella lenta bacteremia in a Crohn's disease patient after ileocecal resection.
Thota VR · 2011 · Future Microbiol
+0.055
40 cites
38A surgical subspecialist enhances general surgical operative experience.
Galandiuk S · 1995 · Arch Surg
+0.049
25 cites
39Natural history of perianal Crohn's disease. Ten year follow-up: a plea for conservatism.
Buchmann P · 1980 · Am J Surg
+0.046
152 cites
40Origin of fistulas in Crohn's disease.
Kelly JK · 1989 · J Clin Gastroenterol
+0.044
39 cites
41Results of the pelvic-pouch procedure in patients with Crohn's disease.
Deutsch AA · 1991 · Dis Colon Rectum
+0.044
132 cites
42Early complications following surgical treatment for Crohn's disease.
Heimann TM · 1985 · Ann Surg
+0.042
77 cites
43Problems encountered with the Kock ileostomy.
Flake WK · 1979 · Am J Surg
+0.042
26 cites
44Intestinal malignancy and Crohn's disease.
Schofield PF · 1972 · Proc R Soc Med
+0.040
35 cites
45Prospective study of the features, indications, and surgical treatment in 513 consecutive patients affected by Crohn's disease.
Hurst RD · 1997 · Surgery
+0.040
80 cites
46Overlap in the spectrum of non-specific inflammatory bowel disease--'colitis indeterminate'.
Price AB · 1978 · J Clin Pathol
+0.037
264 cites
47Role of the faecal stream in the maintenance of Crohn's colitis.
Harper PH · 1985 · Gut
+0.037
160 cites
48Use of the intra-aortic balloon pump to stop gastrointestinal bleeding.
Karkos CD · 2001 · Ann Emerg Med
+0.036
32 cites
49Prognosis after surgery for colonic Crohn's disease.
Andrews HA · 1989 · Br J Surg
+0.036
54 cites
50Perineal sinus after removal of the rectum. Occlusion with fibrin adhesive.
Kirkegaard P · 1983 · Am J Surg
+0.032
43 cites
51Preoperative nutritional status and other factors that influence surgical outcome in patients with Crohn's disease.
Lindor KD · 1985 · Mayo Clin Proc
+0.031
40 cites
52Changes in the bidirectional sodium flux across the intestinal mucosa in Crohn's disease.
Allan R · 1975 · Gut
+0.030
48 cites
53Long-term ileostomy complications in patients with ulcerative colitis and Crohn's disease.
Carlstedt A · 1987 · Int J Colorectal Dis
+0.029
57 cites
54Bile acid malabsorption in Crohn's disease and indications for its assessment using SeHCAT.
Nyhlin H · 1994 · Gut
+0.029
76 cites
55Intraluminal pH of the human gastrointestinal tract.
Fallingborg J · 1999 · Dan Med Bull
+0.028
500 cites
56Factors affecting the incidence of postoperative septic complications and recurrence after strictureplasty for jejunoileal Crohn's disease.
Yamamoto T · 1999 · Am J Surg
+0.027
47 cites
57Life-table analysis of stomal complications following ileostomy.
Leong AP · 1994 · Br J Surg
+0.026
132 cites
58Home parenteral nutrition in the United Kingdom and Ireland.
Mughal M · 1986 · Lancet
+0.026
151 cites
59Early postoperative small-bowel obstruction: a prospective evaluation in 242 consecutive abdominal operations.
Ellozy SH · 2002 · Dis Colon Rectum
+0.026
71 cites
60Filiform polyposis of the colon. First report in a case of transmural colitis (Crohn's disease).
Spark RP · 1976 · Am J Dig Dis
+0.025
21 cites
61"Ideal" length of stay after colectomy: whose ideal?
Schoetz DJ · 1997 · Dis Colon Rectum
+0.025
62 cites
62Psoas abscess: difficulties encountered.
Procaccino JA · 1991 · Dis Colon Rectum
+0.024
74 cites
63Pharmacokinetics of metronidazole in patients with enteric disease compared to normal volunteers.
Bergan T · 1981 · Chemotherapy
+0.024
37 cites
64Impairment of 'ileostomy adaptation' in patients after ileal resection.
Hill GL · 1974 · Gut
+0.023
68 cites
65Indications for surgery in Crohn's disease: analysis of 500 cases.
Farmer RG · 1976 · Gastroenterology
+0.023
161 cites
66Mucosal healing in inflammatory bowel disease: results from a Norwegian population-based cohort.
Frøslie KF · 2007 · Gastroenterology
+0.023
936 cites
67Gynaecological problems related to anatomical changes after conventional proctocolectomy and ileostomy.
Wikland M · 1990 · Int J Colorectal Dis
+0.023
61 cites
68Gallbladder disease in patients on long-term parenteral nutrition.
Roslyn JJ · 1983 · Gastroenterology
+0.022
250 cites
69Crohn's disease in the elderly.
Tchirkow G · 1983 · Dis Colon Rectum
+0.022
41 cites
70Rectovaginal fistula in patients with colitis: review and report of a case.
Faulconer HT · 1975 · Dis Colon Rectum
+0.021
25 cites
71Vitamin B12 malabsorption in patients with limited ileal resection.
Duerksen DR · 2006 · Nutrition
+0.021
56 cites
72Radiographic underestimation of small bowel stricturing Crohn's disease: a comparison with surgical findings.
Otterson MF · 2004 · Surgery
+0.020
37 cites
73Axonal damage in Crohn's disease is frequent, but non-specific.
Brewer DB · 1990 · J Pathol
+0.020
22 cites
74Grafting the unhealed perineal wound after coloproctectomy for Crohn disease.
Anderson R · 1976 · Arch Surg
+0.020
47 cites
75Timing of ileocolonic resection for symptomatic Crohn's disease--the patient's view.
Scott NA · 1994 · Gut
+0.020
37 cites
76Ileal pouch-anal anastomosis. Patterns of failure.
Gemlo BT · 1992 · Arch Surg
+0.020
126 cites
77Impotence after proctectomy for inflammatory disease of the bowel.
Corman ML · 1978 · Dis Colon Rectum
+0.020
21 cites
78Submucosal accumulation of fat in inflammatory bowel disease: CT/pathologic correlation.
Jones B · 1986 · J Comput Assist Tomogr
+0.018
84 cites
79Inflammatory bowel disease in the United States from 1998 to 2005: has infliximab affected surgical rates?
Cannom RR · 2009 · Am Surg
+0.018
50 cites
80Ileorectal anastomosis: a safe surgical technique.
Fazio V · 1975 · Dis Colon Rectum
+0.017
24 cites
81Gastrointestinal and liver adverse effects of drugs used for treating IBD.
Rogler G · 2010 · Best Pract Res Clin Gastroenterol
+0.017
127 cites
82Ileostomy without external appliances: a survey of 25 patients provided with intra-abdominal intestinal reservoir.
Kock NG · 1971 · Ann Surg
+0.017
105 cites
83Intestinal involvement in Behçet's disease: review of 136 surgical cases in the Japanese literature.
Kasahara Y · 1981 · Dis Colon Rectum
+0.017
219 cites
84Perianal complications of pediatric Crohn's disease.
Palder SB · 1991 · J Pediatr Surg
+0.016
54 cites
85The normal flora of ileostomy and transverse colostomy effluents.
Finegold SM · 1970 · J Infect Dis
+0.016
66 cites
86Ileocolic resection for acute presentation of Crohn's disease of the ileum.
Weston LA · 1996 · Dis Colon Rectum
+0.016
31 cites
87Total intracorporeal laparoscopic resection of Crohn's disease.
Dutta S · 2003 · J Pediatr Surg
+0.016
23 cites
88Work disability in inflammatory bowel disease patients 10 years after disease onset: results from the IBSEN Study.
Høivik ML · 2013 · Gut
+0.016
212 cites
89Gender-related differences in the clinical course of Crohn's disease.
Wagtmans MJ · 2001 · Am J Gastroenterol
+0.015
79 cites
90Laparoscopic creation of stomas.
Oliveira L · 1997 · Surg Endosc
+0.014
66 cites
91Growth in Crohn's disease.
Savage MO · 1999 · Acta Paediatr Suppl
+0.014
50 cites
92Epidemiology and natural history of inflammatory bowel diseases.
Cosnes J · 2011 · Gastroenterology
+0.014
1,653 cites
93A comparison of stapled and hand-sewn anastomoses in Crohn's disease.
Kusunoki M · 1998 · Dig Surg
+0.014
40 cites
94Modified two-stage ileal pouch-anal anastomosis: equivalent outcomes with less resource utilization.
Swenson BR · 2005 · Dis Colon Rectum
+0.014
57 cites
95Stapled versus handsewn methods for ileocolic anastomoses.
Luglio G · 2019 · Tech Coloproctol
+0.013
20 cites
96Intravenous hyperalimentation.
Rhoads JE · 1970 · Med Clin North Am
+0.013
109 cites
97A freeze fracture study of Crohn's disease of the terminal ileum: changes in epithelial tight junction organization.
Marin ML · 1983 · Am J Gastroenterol
+0.012
105 cites
98Abdominal Emergencies in Inflammatory Bowel Disease.
Goldstone RN · 2019 · Surg Clin North Am
+0.012
27 cites
99Ileo-rectal anastomosis for Crohn's disease of the colon.
Baker WN · 1971 · Gut
+0.012
48 cites
100Strategy for management of distal ileal Crohn's disease.
Andrews HA · 1991 · Br J Surg
+0.012
28 cites