{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:05:12Z","timestamp":1791979512960,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We aimed to assess whether the risk of disease recurrence in Crohn's disease (CD) patients that undergone ileocolic resection (ICR) with temporary ileostomy and a later stoma reversal is different compared to patients that underwent a one\u2010stage operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010center retrospective review of all patients that underwent elective primary ICR for CD between 2010 and 2022 divided into: 2S\u2010ICR group\u2010patients who underwent two\u2010stage ICR. 1S\u2010ICR group\u2010patients who underwent one\u2010stage ICR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort included 191 patients (mean age 33.4, range 15\u201370), with 40 and 151 patients in the 2S\u2010ICR and 1S\u2010ICR groups, respectively. The 2S\u2010ICR were more comorbid, with a lower mean BMI (18 vs. 21.3, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), higher median ASA score (3 vs. 2, <jats:italic>P<\/jats:italic>\u2009=\u20090.036), higher percentage on pre\u2010operative total parenteral nutrition (TPN) (62.5% vs. 24.5%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and lower levels of pre\u2010operative albumin (3.3\u2009g\/dL vs. 3.8\u2009g\/dL, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). There were no significant differences in the overall postoperative complication rate (47.5% vs. 47.7% respectively, <jats:italic>P<\/jats:italic>\u2009=\u20091), nor in the rate of severe complications (17.5% vs. 13.2%, <jats:italic>P<\/jats:italic>\u2009=\u20090.6), but, the 2S\u2010ICR had a longer post\u2010operative length\u2010of\u2010stay (14 vs. 6\u2009days, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and higher rates of 30\u2010day readmission (30% vs. 13.2%, <jats:italic>P<\/jats:italic>\u2009=\u20090.017). After an overall median follow\u2010up of 63\u2009months, the groups showed similar rates of endoscopic, clinical, and surgical recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Two\u2010<jats:bold>s<\/jats:bold>tage ICR with a temporary ileostomy does not change long\u2010term CD recurrence rates compared with one\u2010stage ICR.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19237","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T13:24:46Z","timestamp":1726752286000},"page":"143-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ileocolic resection with temporary ileostomy for Crohn's disease: does it affect long\u2010term disease recurrence compared with primary anastomosis?"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3701-2307","authenticated-orcid":false,"given":"Michael","family":"Goldenshluger","sequence":"first","affiliation":[{"name":"Department of General Surgery The Chaim Sheba Medical Center  Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7972-9424","authenticated-orcid":false,"given":"Lior","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of General Surgery The Chaim Sheba Medical Center  Ramat Gan Israel"},{"name":"Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199109000-00006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199603000-00005"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izab316"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9348-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000025340"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl19085"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjx187"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-015-3061-3"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0782-0"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.24.2.106"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)90663-A"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13356"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.26.3.279"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2005\/269076"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.33.3.331"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(90)90613-6"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14895"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-34867-w"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.19237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T01:33:32Z","timestamp":1743557612000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.19237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,19]]},"references-count":19,"journal-issue":{"issue":"1-2","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/ans.19237"],"URL":"https:\/\/doi.org\/10.1111\/ans.19237","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,19]]},"assertion":[{"value":"2024-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}