Top 100 Most Disruptive

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.

Curated by · Professor of Surgery, Department of Colon & Rectal Surgery, Cleveland Clinic · Corpus last refreshed · Publications

Ranked from Crohn's-surgery literature, small bowel + ileocolic + large bowel collections.
#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 · 1972 · Proc R Soc Med
+0.737
36 cites
3Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease.
Hellers · 1980 · Gut
+0.292
364 cites
4An Update on the Medical Management of Inflammatory Pouch Complications
Quinn · 2020 · Am J Gastroenterol
+0.221
30 cites
5["Strictureplasty" in Crohn disease].
Alexander-Williams J · 1982 · Chirurg
+0.212
23 cites
6The role of colonoscopy in the differential diagnosis of inflammatory bowel disease.
Waye JD · 1977 · Gastrointest Endosc
+0.185
74 cites
7Natural history of recurrent Crohn's disease at the ileocolonic anastomosis after curative surgery.
Rutgeerts P · 1984 · Gut
+0.144
639 cites
8The 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
9Repair of persistent perineal sinuses by means of a pedicle flap of musculus gracilis. Case report.
Bartholdson · 1975 · Scand J Plast Reconstr Surg
+0.135
41 cites
10Predictability of the postoperative course of Crohn's disease.
Rutgeerts P · 1990 · Gastroenterology
+0.129
1,460 cites
11Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn's disease.
Milsom · 2001 · Dis Colon Rectum
+0.127
247 cites
12Endoscopic balloon dilation of colonic and ileo-colonic Crohn's strictures: long-term results.
Breysem Y · 1992 · Gastrointest Endosc
+0.118
93 cites
13Serum antibodies to Bacteroides species in chronic inflammatory bowel disease.
Tvede · 1983 · Scand J Gastroenterol
+0.109
42 cites
14The fate of ileorectal anastomosis in Crohn's disease.
Burman · 1971 · Gut
+0.104
57 cites
15Primary sclerosing cholangitis: a review of its clinical features, cholangiography, and hepatic histology.
Chapman RW · 1980 · Gut
+0.102
740 cites
16The extra-intestinal complications of Crohn's disease and ulcerative colitis: a study of 700 patients.
Greenstein · 1976 · Medicine (Baltimore)
+0.099
1,063 cites
17Primary closure of perineal wound after proctocolectomy or rectal excision.
Hultén · 1971 · Acta Chir Scand
+0.093
36 cites
18Laparoscopically assisted ileocolectomy in Crohn's disease.
Milsom · 1993 · Surg Laparosc Endosc
+0.091
77 cites
19Aetiology of disruption of intestinal anastomoses.
Irvin · 1973 · Br J Surg
+0.088
326 cites
20Preliminary experience with laparoscopic intestinal surgery for Crohn's disease.
Ludwig · 1996 · Am J Surg
+0.084
99 cites
21Laparoscopic surgery for inflammatory bowel disease
Liu · 1995 · Am Surg
+0.078
45 cites
22Risk factors for intra-abdominal sepsis after surgery in Crohn's disease.
Yamamoto T · 2000 · Dis Colon Rectum
+0.077
281 cites
23Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn's disease.
Dunker MS · 1998 · Surg Endosc
+0.077
290 cites
24Operative technique in surgery for Crohn's disease and its relationship to recurrence.
Colcock · 1973 · Surg Clin North Am
+0.074
25 cites
25Unexplained bronchopulmonary disease with inflammatory bowel disease.
Kraft · 1976 · Arch Intern Med
+0.073
202 cites
26Fecal Microbiota Transplant for Recurrent Clostridium difficile Infection in Pediatric Inflammatory Bowel Disease.
Cho · 2019 · J Pediatr Gastroenterol Nutr
+0.071
23 cites
27Results of surgery for inflammatory bowel disease: a further survey of one hospital region.
Ritchie · 1974 · Br Med J
+0.069
53 cites
28Computed tomography in Crohn's disease.
Berliner L · 1982 · Am J Gastroenterol
+0.062
45 cites
29Effect of faecal stream diversion on recurrence of Crohn's disease in the neoterminal ileum.
Rutgeerts · 1991 · Lancet
+0.060
598 cites
30PLACE OF A DOUBLE-BARRELLED ILEOSTOMY IN ULCERATIVE COLITIS AND CROHN'S DISEASE OF THE COLON: A PRELIMINARY REPORT.
TRUELOVE · 1965 · Br Med J
+0.056
66 cites
31Eggerthella lenta bacteremia in a Crohn's disease patient after ileocecal resection.
Thota VR · 2011 · Future Microbiol
+0.055
40 cites
32A surgical subspecialist enhances general surgical operative experience
Galandiuk · 1995 · Arch Surg
+0.049
25 cites
33Natural history of perianal Crohn's disease. Ten year follow-up: a plea for conservatism.
Buchmann P · 1980 · Am J Surg
+0.046
152 cites
34Origin of fistulas in Crohn's disease.
Kelly JK · 1989 · J Clin Gastroenterol
+0.044
39 cites
35Results of the pelvic-pouch procedure in patients with Crohn's disease.
Deutsch A · 1991 · Dis Colon Rectum
+0.044
132 cites
36Early complications following surgical treatment for Crohn's disease.
Heimann · 1985 · Ann Surg
+0.042
77 cites
37Problems encountered with the Kock ileostomy.
Flake WK · 1979 · Am J Surg
+0.042
26 cites
38Intestinal malignancy and Crohn's disease.
Schofield · 1972 · Proc R Soc Med
+0.040
35 cites
39Prospective 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
40Overlap in the spectrum of non-specific inflammatory bowel disease--'colitis indeterminate'.
Price · 1978 · J Clin Pathol
+0.037
264 cites
41Role of the faecal stream in the maintenance of Crohn's colitis.
Harper PH · 1985 · Gut
+0.037
160 cites
42Prognosis after surgery for colonic Crohn's disease.
Andrews H · 1989 · Br J Surg
+0.036
54 cites
43Preoperative nutritional status and other factors that influence surgical outcome in patients with Crohn's disease.
Lindor · 1985 · Mayo Clin Proc
+0.031
40 cites
44Changes in the bidirectional sodium flux across the intestinal mucosa in Crohn's disease.
Allan · 1975 · Gut
+0.030
48 cites
45Long-term ileostomy complications in patients with ulcerative colitis and Crohn's disease.
Carlstedt · 1987 · Int J Colorectal Dis
+0.029
57 cites
46Bile acid malabsorption in Crohn's disease and indications for its assessment using SeHCAT.
Nyhlin H · 1994 · Gut
+0.029
76 cites
47Factors 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
48Life-table analysis of stomal complications following ileostomy.
Leong · 1994 · Br J Surg
+0.026
132 cites
49Home parenteral nutrition in the United Kingdom and Ireland.
Mughal M · 1986 · Lancet
+0.026
151 cites
50Filiform polyposis of the colon. First report in a case of transmural colitis (Crohn's disease).
Spark · 1976 · Am J Dig Dis
+0.025
21 cites
51Psoas abscess: difficulties encountered.
Procaccino · 1991 · Dis Colon Rectum
+0.024
74 cites
52Pharmacokinetics of metronidazole in patients with enteric disease compared to normal volunteers.
Bergan T · 1981 · Chemotherapy
+0.024
37 cites
53Indications for surgery in Crohn's disease: analysis of 500 cases.
Farmer · 1976 · Gastroenterology
+0.023
161 cites
54Mucosal healing in inflammatory bowel disease: results from a Norwegian population-based cohort.
Frøslie · 2007 · Gastroenterology
+0.023
938 cites
55Gynaecological problems related to anatomical changes after conventional proctocolectomy and ileostomy
Wikland · 1990 · Int J Colorectal Dis
+0.023
61 cites
56Gallbladder disease in patients on long-term parenteral nutrition.
Roslyn JJ · 1983 · Gastroenterology
+0.022
250 cites
57Crohn's disease in the elderly
Tchirkow · 1983 · Dis Colon Rectum
+0.022
41 cites
58Rectovaginal fistula in patients with colitis: review and report of a case.
Faulconer HT · 1975 · Dis Colon Rectum
+0.021
25 cites
59Vitamin B12 malabsorption in patients with limited ileal resection.
Duerksen DR · 2006 · Nutrition
+0.021
56 cites
60Radiographic underestimation of small bowel stricturing Crohn's disease: a comparison with surgical findings.
Otterson MF · 2004 · Surgery
+0.020
37 cites
61Axonal damage in Crohn's disease is frequent, but non-specific.
Brewer DB · 1990 · J Pathol
+0.020
22 cites
62Grafting the unhealed perineal wound after coloproctectomy for Crohn disease.
Anderson R · 1976 · Arch Surg
+0.020
47 cites
63Timing of ileocolonic resection for symptomatic Crohn's disease--the patient's view.
Scott NA · 1994 · Gut
+0.020
37 cites
64Ileal pouch-anal anastomosis. Patterns of failure
Gemlo · 1992 · Arch Surg
+0.020
126 cites
65Impotence after proctectomy for inflammatory disease of the bowel.
Corman · 1978 · Dis Colon Rectum
+0.020
21 cites
66Submucosal accumulation of fat in inflammatory bowel disease: CT/pathologic correlation.
Jones B · 1986 · J Comput Assist Tomogr
+0.018
84 cites
67Inflammatory bowel disease in the United States from 1998 to 2005: has infliximab affected surgical rates?
Cannom Rebecca · 2009 · Am Surg
+0.018
50 cites
68Ileorectal anastomosis: a safe surgical technique.
Fazio · 1975 · Dis Colon Rectum
+0.017
24 cites
69Gastrointestinal and liver adverse effects of drugs used for treating IBD.
Rogler G · 2010 · Best Pract Res Clin Gastroenterol
+0.017
126 cites
70Ileostomy without external appliances: a survey of 25 patients provided with intra-abdominal intestinal reservoir.
Kock · 1971 · Ann Surg
+0.017
105 cites
71Perianal complications of pediatric Crohn's disease.
Palder SB · 1991 · J Pediatr Surg
+0.016
54 cites
72The normal flora of ileostomy and transverse colostomy effluents.
Finegold · 1970 · J Infect Dis
+0.016
66 cites
73Ileocolic resection for acute presentation of Crohn's disease of the ileum.
Weston LA · 1996 · Dis Colon Rectum
+0.016
31 cites
74Total intracorporeal laparoscopic resection of Crohn's disease.
Dutta S · 2003 · J Pediatr Surg
+0.016
23 cites
75Work disability in inflammatory bowel disease patients 10 years after disease onset: results from the IBSEN Study.
Høivik · 2013 · Gut
+0.016
214 cites
76Gender-related differences in the clinical course of Crohn's disease.
Wagtmans MJ · 2001 · Am J Gastroenterol
+0.015
80 cites
77Laparoscopic creation of stomas.
Oliveira L · 1997 · Surg Endosc
+0.014
66 cites
78Growth in Crohn's disease.
Savage · 1999 · Acta Paediatr Suppl
+0.014
50 cites
79Epidemiology and natural history of inflammatory bowel diseases.
Cosnes · 2011 · Gastroenterology
+0.014
1,659 cites
80A comparison of stapled and hand-sewn anastomoses in Crohn's disease.
Kusunoki · 1998 · Dig Surg
+0.014
40 cites
81Modified two-stage ileal pouch-anal anastomosis: equivalent outcomes with less resource utilization
Swenson · 2005 · Dis Colon Rectum
+0.014
57 cites
82Stapled versus handsewn methods for ileocolic anastomoses.
Luglio G · 2019 · Tech Coloproctol
+0.013
20 cites
83Intravenous hyperalimentation.
Rhoads JE · 1970 · Med Clin North Am
+0.013
109 cites
84A 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
85Abdominal Emergencies in Inflammatory Bowel Disease.
Goldstone RN · 2019 · Surg Clin North Am
+0.012
27 cites
86Ileo-rectal anastomosis for Crohn's disease of the colon.
Baker · 1971 · Gut
+0.012
48 cites
87Strategy for management of distal ileal Crohn's disease.
Andrews HA · 1991 · Br J Surg
+0.012
28 cites
88The therapeutic dilatation of enteric strictures due to Crohn's disease.
Alexander-Williams J · 1986 · Ann R Coll Surg Engl
+0.012
35 cites
89Laparoscopic surgery for lower gastrointestinal fistulas
Joo · 1997 · Surg Endosc
+0.011
46 cites
90Outcome of laparoscopic colorectal surgery in older patients.
Reissman · 1996 · Am Surg
+0.011
65 cites
91Acute surgical emergencies in inflammatory bowel disease.
Berg · 2002 · Am J Surg
+0.011
95 cites
92Surgical therapy for ulcerative colitis and Crohn's disease.
Becker · 1999 · Gastroenterol Clin North Am
+0.011
86 cites
93Outcome of "indeterminant" colitis following ileal pouch-anal anastomosis
Pezim · 1989 · Dis Colon Rectum
+0.011
103 cites
94Paraileostomy hernia: a clinical and radiological study.
Williams · 1990 · Br J Surg
+0.011
76 cites
95Laparoscopic-assisted intestinal resection for Crohn's disease.
Bauer JJ · 1995 · Dis Colon Rectum
+0.011
61 cites
96Electrolyte transport across colonic mucosa from patients with inflammatory bowel disease.
Hawker · 1980 · Gastroenterology
+0.011
130 cites
97Hospitalization, surgery, and readmission rates of IBD in Canada: a population-based study.
Bernstein · 2006 · Am J Gastroenterol
+0.011
122 cites
98Impact of Clostridium difficile on inflammatory bowel disease.
Issa · 2007 · Clin Gastroenterol Hepatol
+0.011
452 cites
99Proctocolectomy is associated with a higher complication rate but carries a lower recurrence rate than total colectomy and ileorectal anastomosis in Crohn colitis.
Yamamoto · 1999 · Scand J Gastroenterol
+0.010
45 cites
100Perioperative endoscopy of the whole small bowel in Crohn's disease.
Lescut D · 1993 · Gut
+0.010
66 cites