Repeat resection after ileocecal resection for CD

What is known

• Of 181 patients, 56 (30.9%) needed reoperation for recurrence at mean 72.3 months; 20.4% had two resections, 8.3% three, 2.2% four. ¹
• The preanastomotic ileum was the most frequent site of first recurrence (87.3%). ¹
• A second surgical recurrence developed in 19 patients (10.5%) at a mean of 52.3 months. ¹

What is unknown / caveats

• Single retrospective cohort operated 1970-1993, predating modern biologic prophylaxis
• A 2026 meta-analysis on surgical recurrence was retrieved but only reference-list text, not pooled rates
• The headline repeat-resection rate rests on one older single-center cohort; contemporary pooled estimates were not extractable from the retrieved excerpts.

References

1. Kim NK, Senagore AJ, Luchtefeld MA, MacKeigan JM, Mazier WP, Belknap K, Chen SH. Long-term outcome after ileocecal resection for Crohn's disease. Am Surg. 1997;63(7):627-33. PMID: 9202538.

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