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We aimed to assess the influence of preoperative disease duration on long\u2010term postoperative disease course.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of all Crohn's disease patients who underwent an elective primary ileocolic resection between 2010 and 2021 in a single tertiary medical center. The cohort was divided based on disease duration, Group A (47 patients) had a disease duration shorter than 3\u2009years (median of 1\u2009year) and Group B (139 patients) had a disease duration longer than 3\u2009years (median of 11\u2009years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Surgeries were less complex among Group A as noted by higher rates of laparoscopic assisted procedures (68.1% vs. 45.3%, <jats:italic>P<\/jats:italic>\u2009=\u20090.006), shorter surgery duration (134 vs. 167\u2009min, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) less estimated blood loss (72.5 vs. 333\u2009mL, <jats:italic>P<\/jats:italic>\u2009=\u20090.016) and faster return of bowel function (3 vs. 4\u2009days, <jats:italic>P<\/jats:italic>\u2009=\u20090.011). However, propensity score matching nullified all the differences. Younger age (OR\u2009=\u20090.86, <jats:italic>P<\/jats:italic>\u2009=\u20090.004), pre\u2010op steroids (OR\u2009=\u20093.69, <jats:italic>P<\/jats:italic>\u2009=\u20090.037) and longer disease duration (OR\u2009=\u20091.18, <jats:italic>P<\/jats:italic>\u2009=\u20090.012) were found to be independently significantly associated with severe complications. After a median follow\u2010up time of 71.38\u2009months no significant differences were found between the groups in terms of endoscopic (<jats:italic>P<\/jats:italic>\u2009=\u20090.59), or surgical recurrences rates (<jats:italic>P<\/jats:italic>\u2009=\u20090.82).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The main effect of preoperative short disease duration was noted within the surgical complexity; however, matching suggests confounders as cause of the difference. No significant long\u2010term implication was noted on disease recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18669","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T04:22:23Z","timestamp":1693196543000},"page":"2910-2920","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long\u2010term outcomes following ileocolic resection for Crohn's disease: does earlier elective resection affect disease recurrence rates?"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2496-4253","authenticated-orcid":false,"given":"Dan","family":"Assaf","sequence":"first","affiliation":[{"name":"The Department of General and Oncological Surgery\u2010Surgery C Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"},{"name":"The Sheba Talpiot Medical Leadership Program Sheba Medical Center  Tel Hashomer Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Hazzan","sequence":"additional","affiliation":[{"name":"The Department of General and Oncological Surgery\u2010Surgery C Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shachar","family":"Laks","sequence":"additional","affiliation":[{"name":"The Department of General and Oncological Surgery\u2010Surgery C Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler School 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":"The Department of General and Oncological Surgery\u2010Surgery C Sheba Medical Center  Tel Hashomer Israel"},{"name":"Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4166\/kjg.2017.69.1.29"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2036.2002.01140.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1201\/9780849381829.ch17"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines9101317"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjw169"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200001000-00006"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.36.5.715"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejm198106253042607"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(85)90007-1"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000025340"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl19085"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01589.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000001206"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(79)90390-1"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(83)90444-4"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.32.5.491"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v8.i7.492"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2007.03515.x"},{"key":"e_1_2_8_20_1","unstructured":"American Society Of anesthesiologists ASA physical status classification system | American Society of Anesthesiologists (ASA) Standars Guidel. 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