P196 Major variance in scoring of endoscopic recurrence after ileocolic resection for Crohns Disease – a systematic review and meta-analysis
نویسندگان
چکیده
Abstract Background Adequate scoring of endoscopic recurrence in Crohn’s disease patients is utmost importance, as it used to diagnose recurrent disease, predict outcomes, (re-)initiate or change therapy and monitor its effect. This study aims assess the variance after ileocolic resection for Crohn's using most common classification systems, Rutgeerts (RS) modified (mRS) classification. Methods A systematic literature search MEDLINE, Embase Cochrane Library was performed. All RCTs cohort studies describing an were included. Main outcome range rates within twelve months postoperatively, defined RS≥i2 and/or mRS≥i2b. proportional meta-analysis Results Seventy-six comprising 7751 The weighted mean rates, either mRS≥i2b, 43.99% (95 per cent CI 43.56 – 44.43), ranging from 5.0% 93.0%, fig 1. For reporting ≥i2 ≥i2b means 44.0% (range 93.0%) 41.1% 19.8% 62.9%) respectively. Within both RS mRS 61.3% 39.1% 84.7%) 40.6% 62.0%) Conclusion demonstrates a major with greatest when original suggests high likelihood inadequate diagnosis recurrence, implications quality life health care consumption. Therefore, there important need improve disease.
منابع مشابه
Local recurrence after endoscopic mucosal resection of nonpedunculated colorectal lesions: systematic review and meta-analysis.
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lators and biologic agents, approximately 70%-80% of patients with Crohn’s disease (CD) undergo surgical resection and up to 70% of these require a second operation due to continuing inflammation (1). Therefore, postoperative recurrence (POR) still remains a crucial issue. The mechanism of POR is not exactly known, but it may be mediated by luminal contents. POR can be determined and measured c...
متن کاملUpdating predictors of endoscopic recurrence after ileocolic resection for Crohn disease.
BACKGROUND/AIMS Identifying predictors of endoscopic recurrence (ER) has become very important to guide the decision of postoperative strategy. This study aimed to determine the rate of endoscopic recurrence until 12 months after ileocolic resection for Crohn disease (CD) in a cohort and identify its possible predictors. MATERIALS AND METHODS We conducted a retrospective single-center study t...
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ژورنال
عنوان ژورنال: Journal of Crohn's and Colitis
سال: 2023
ISSN: ['1876-4479', '1873-9946']
DOI: https://doi.org/10.1093/ecco-jcc/jjac190.0326