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Published on : May 04, 2018 | Views : 1013 | Downloads : 0

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Predictive factors of recurrence of crohn's disease after ileocecal resection L.Safer, A.Guediche, R.Baklouti, F.Aissaoui, M.Zakhama, W.Ben Mansour, W.Bouhlel, M.H Loghmari. University hospital of Monastir, Tunisia; gastroenterology service Introduction : Recurrence after ileocolectomy for Crohn’s disease (CD) is common and occurs in up to 80% of patients. Such recurrence can result in repeated surgical interventions, an increased need for medical treatment and, frequently, an impaired quality of life. This study aims to evaluate the factors associated with disease recurrence after ileocolectomy for CD.. Materials: We report a retrospective study from January 1998 to December 2012, including all patients who underwent ileocecal resection(ICR). We had been interested to the risk factors of surgical recurrence of Crohn’s disease. Résultats : Conclusion: After ICR for CD, recurrence is relatively frequent and its incidence increases with tobacco, after extensive resection, at young age and according to the phenotype of the disease (penetrating disease). twenty three patients were included in this study. Table II Factors not associated with a high risk of post operative recurrence of CD Table I Univariate analysis of factors associated with recurrence of Crohn's disease after ileocolectomy Endoscopic and/or clinical recurrence after an average follow-up of 24.5 months [6-110]