The second European evidence-based Consensus on the diagnosis and management of Crohn's disease: Special situations

Principal changes with respect to the 2004 ECCO guidelines Ileocolonoscopy is recommended within the first year after surgery where treatment decisions may be affected (Statement 8C). Thiopurines are more effective than mesalazine or imidazole antibiotics alone in post-operative prophylaxis (Statement 8F). ### 8.1 Epidemiology of post-operative Crohn's disease In the natural history of CD, intestinal resection is almost unavoidable since about 80% of patients require surgery at some stage. Surgery is unfortunately not curative as the disease inexorably recurs in many patients. The post-operative recurrence rate varies according to the definition used: clinical, endoscopic, radiological, or surgical. It is…

• EM
  Erasmus Medisch Centrum
• UW
  Universität Wien
• UM
  Universitair Medisch Centrum Utrecht
• MU
  Medizinische Universität Wien
• UD
  Università di Bologna
• HZ
  Humboldt-Universität zu Berlin
• UO
  University of Ioannina