{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:08:14Z","timestamp":1777921694515,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"\n Objective:<\/jats:title>\n We questioned how redo ileocolic resection (R-ICR) in Crohn\u2019s disease (CD) alleviates patients in the long-term compared with primary resection.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A single-center retrospective analysis of patients who underwent an elective ICR without diversion between the years 2010\u20132022. The cohort was divided into two groups, namely, R-ICR and primary ileocolic resection (P-ICR).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The study included 181 patients, of which 30 patients are in the R-ICR group (mean age 42.3 years) and 151 patients in the P-ICR group (mean age 32.6 years). The R-ICR patients underwent an open approach (76.7% versus 25.2% among the P-ICR,\n p<\/jats:italic>\n < .001), had significantly longer operations (mean 200.9 minutes versus 157.2 minutes, respectively,\n P<\/jats:italic>\n = .002), and had higher estimated blood loss (mean 350 mL versus 267.4 mL,\n P<\/jats:italic>\n = .043). The groups were similar in overall postoperative morbidity, severe postoperative complications (10% versus 13.2%,\n P<\/jats:italic>\n = .762), and median length of hospital stay (12.1 days versus 7.4 days,\n P<\/jats:italic>\n = .214). After a median follow-up of 64.2 months, there were no significant differences between the groups in terms of endoscopic recurrence (43.3% versus 60.9% in the P-ICR group,\n P<\/jats:italic>\n = .104) or in clinical recurrence (43.3% versus 55.6%, respectively,\n P<\/jats:italic>\n = .216), but the R-ICR had a significant higher rate of surgical recurrences (23.3% versus 5.3%, respectively,\n P<\/jats:italic>\n = .004).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n R-ICR for CD is a significantly more challenging operation than the primary resection, and patients undergoing a R-ICR are more susceptible to a future surgical intervention than those having P-ICR.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2024.0146","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T05:35:17Z","timestamp":1721021717000},"page":"836-844","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Redo Ileocolic Resection for Crohn\u2019s Disease, Does It Palliate the Patients as Good as the Primary Resection?"],"prefix":"10.1177","volume":"34","author":[{"given":"David","family":"Hazzan","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gali","family":"Westrich","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel."},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7972-9424","authenticated-orcid":false,"given":"Lior","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel."},{"name":"Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01589.x"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izab316"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10595"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.07.025"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jju028"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.02.001"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12534"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15675"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000946"},{"key":"e_1_3_5_11_2","volume-title":"American Society Of Anesthesiologists Classification","author":"Doyle DJ","year":"2022","unstructured":"Doyle DJ, , Hendrix JM, , Garmon EH. 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