Mistakes in... 2022 - 17

ueg education
Mistakes in... 2022
Therefore, cobalamin levels should be assessed
every 6-12 months in Crohn's disease patients
who have undergone ileal resections-parenteral
supplementation should be started if deficiency is
noticed and in patients who have ileal resections
of >30 cm.
References
1. Bossuyt P, et al. The operative risk and natural history
after the diagnosis of ileal penetrating Crohn's
disease. Eur J Gastroenterol Hepatol 2018;
30: 539-545.
2. Domènech E, Mañosa M and Cabré E. An overview of
the natural history of inflammatory bowel disease.
Dig Dis 2014; 32: 320-327.
3. Rutgeerts P, et al. Predictability of the postoperative
course of Crohn's disease. Gastroenterology 1990;
99: 956-963.
4. Reese GE, et al. The effect of smoking after surgery for
Crohn's disease: a meta-analysis of observational
studies. Int J Colorectal Dis 2008; 23: 1213-1221.
5. De Cruz P, et al. Postoperative recurrent luminal
Crohn's disease: a systematic review. Inflamm Bowel
Dis 2012; 18: 758-777
6. Domènech E, et al. Recommendations of the Spanish
Working Group on Crohn's disease and ulcerative
colitis (GETECCU) on the monitoring, prevention and
treatment of postoperative recurrence in Crohn's
disease. Gastroenterol Hepatol 2017; 40: 472-483.
7. Nguyen GC, et al. American Gastroenterological
Association Institute guideline on the management
of Crohn's disease after surgical resection.
Gastroenterology 2017; 152: 271-275.
8. Boschetti G, et al. Levels of fecal calprotectin are
associated with the severity of postoperative
endoscopic recurrence in asymptomatic patients
with Crohn's disease. Am J Gastroenterol 2015;
110: 865-872.
9. Wright EK, et al. Measurement of fecal calprotectin
improves monitoring and detection of recurrence of
Crohn's disease after surgery. Gastroenterology 2015;
148: 938-947.
10. Garcia-Planella E, et al. Fecal calprotectin levels
are closely correlated with the absence of relevant
mucosal lesions in postoperative Crohn's disease.
Inflamm Bowel Dis 2016; 22: 2879-2885.
11. Lamb CA, et al. Faecal calprotectin or lactoferrin can
identify postoperative recurrence in Crohn's disease.
Br J Surg 2009; 96: 663-674.
12. D'Amico F, et al. International consensus on
methodological issues in standardization of fecal
calprotectin measurement in inflammatory bowel
diseases. United European Gastroenterol J 2021; 9:
451-460.
13. Mañosa M, et al. Addition of metronidazole to
azathioprine for the prevention of postoperative
recurrence of Crohn's disease: a randomized, doubleblind,
placebo-controlled trial. Inflamm Bowel Dis
2013; 19: 1889-1895.
14. Ferrante M, et al. Systematic versus endoscopydriven
treatment with azathioprine to prevent
postoperative ileal Crohn's disease recurrence.
J Crohns Colitis 2015; 9: 617-624.
15. Cañete F, et al. Antitumor necrosis factor agents to
treat endoscopic postoperative recurrence of Crohn's
disease: A nationwide study with propensitymatched
score analysis. Clin Transl Gastroenterol
2020; 11: e00218.
16. Pouillon L, et al. Risk of late postoperative
recurrence of Crohn's disease in patients in
endoscopic remission after ileocecal resection, over
10 years at multiple centers. Clin Gastroenterol
Hepatol 2021; 19: 1218-1225.
17. De Cruz P, et al. Crohn's disease management after
intestinal resection: a randomised trial. Lancet 2015;
385: 1406-1417.
18. Rivière P, et al. Rates of postoperative recurrence of
Crohn's disease and effects of immunosuppressive
and biologic therapies. Clin Gastroenterol Hepatol
2021; 19: 713-720.
19. Lémann M, et al. A randomized, double-blind,
controlled withdrawal trial in Crohn's
disease patients in long-term remission on
azathioprine. Gastroenterology 2005;
128: 1812-1818.
20. Fumery M, et al. Systematic review with
meta-analysis: recurrence of Crohn's
disease after total colectomy with permanent
ileostomy. Aliment Pharmacol Ther 2017;
45: 381-390.
21. Ghishan FK and Kiela PR. Vitamins and minerals in
inflammatory bowel disease. Gastroenterol Clin North
Am 2017; 46: 797-808.
22. Dignass AU, et al. European consensus on the
diagnosis and management of iron deficiency and
anaemia in inflammatory bowel diseases. J Crohns
Colitis 2015; 9 : 211-222.
Your post-operative Crohn's disease briefing
UEG Week
* 'How to manage postoperative recurrence?'
presentation in the 'Management of Crohn's disease'
session at UEG Week Virtual 2020
[https://ueg.eu/library/session/
management-of-crohns-disease/161/2825].
* 'Pre- and postsurgical management in Crohn's disease'
presentation in the 'How to use drugs in IBD' session at
UEG Week 2109 [https://ueg.eu/library/session/
how-to-use-drugs-in-ibd/156/2124].
* 'Post-operative recurrence of Crohn's disease' session
at UEG Week 2018 [https://ueg.eu/library/session/
post-operative-recurrence-of-crohns-disease/153/1991].
*
'Post-operative management of Crohn's disease'
session at UEG Week 2016 [https://ueg.eu/library/
session/post-operativemanagement-of-crohns-disease/144/1579].
Standards
and Guidelines
* Bemelman WA, et al. ECCO-ESCP Consensus on
Surgery for Crohn's Disease. J Crohn's Colitis 2018;
12: 1-16 [https://ueg.eu/library/
ecco-escp-consensus-on-surgery-for-crohn-s-disease/176354].
*
Gionchetti P, et al. 3rd European Evidence-based
Consensus on the Diagnosis and Management of Crohn's
Disease 2016: Part 2: Surgical Management and Special
Situations. J Crohn's Colitis 2017; 11: 135-149 [https://ueg.
eu/library/3rd-european-evidence-basedconsensus-on-the-diagnosis-and-management-ofcrohn-s-disease-2016-part-2-surgical-managementand-special-situations/144436].
*
Domènech E, et al. Recommendations of the
Spanish Working Group on Crohn's disease
and ulcerative colitis (GETECCU) on the
monitoring, prevention and treatment of
postoperative recurrence in Crohn's disease.
Gastroenterol Hepatol 2017; 40: 472-483
[https://www.elsevier.es/
en-revista-gastroenterologia-hepatologia-englishedition--382-articulo-recommendations-spanishworking-group-on-S2444382417301190].
*
Nguyen GC, et al. American Gastroenterological
Association Institute guideline on the
management of Crohn's disease after
surgical resection. Gastroenterology 2017; 152:
271-275 [https://www.gastrojournal.org/article/
S0016-5085(16)35285-4/fulltext].
7
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