The second European evidence-based Consensus on the diagnosis and management of Crohn's disease: Special situations

摘要

Principal changes with respect to the 2004 ECCO guidelines lleocolonoscopy is recommended within the first year after surgery where treatment decisions may be affected (Statement 8C). Thiopurines are more effective than mesalazine or imidazole antibiotics alone in post-operative prophylaxis (Statement 8F). In the natural history of CD, intestinal resection is almost unavoidable since about 80% of patients require surgery at some stage. Surgery is unfortunately not curative as the disease inexorably recurs in many patients. The postoperative recurrence rate varies according to the definition used: clinical, endoscopic, radiological, or surgical.