Cwaliński J, Stawczyk-Eder K, Cwalinska A, Zasada W, Cholerzyńska H, Banasiewicz T, Paszkowski J. Insufficiency of ileocolic anastomosis in Crohn’s disease patients – prevention and treatment. World J Gastrointest Surg 2025; 17(5): 102064 [DOI: 10.4240/wjgs.v17.i5.102064]
Corresponding Author of This Article
Jarosław Cwaliński, MD, PhD, Department of General Endocrinological Surgery and Gastrointestinal Oncology, Poznan University of Medical Sciences, 49 Przybyszewskiego Street, Poznan 60-355, Poland. cwalinski.jaroslaw@spsk2.pl
Research Domain of This Article
Surgery
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2025; 17(5): 102064 Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.102064
Insufficiency of ileocolic anastomosis in Crohn’s disease patients – prevention and treatment
Jarosław Cwaliński, Kamila Stawczyk-Eder, Agnieszka Cwalinska, Wiktoria Zasada, Hanna Cholerzyńska, Tomasz Banasiewicz, Jacek Paszkowski
Jarosław Cwaliński, Wiktoria Zasada, Hanna Cholerzyńska, Tomasz Banasiewicz, Jacek Paszkowski, Department of General, Endocrinological Surgery and Gastrointestinal Oncology, Poznan University of Medical Sciences, Poznan 60-355, Poland
Kamila Stawczyk-Eder, Department of Gastroenterology, Dietetics, and Internal Medicine, Poznan University of Medical Sciences, Poznan 60-355, Poland
Agnieszka Cwalinska, Department of Infectious Diseases and Child Neurology, Poznan University of Medical Sciences, Poznan 60-355, Poland
Author contributions: Cwaliński J, Stawczyk-Eder K, Cwalinska A, Zasada W, Cholerzyńska H, Banasiewicz T, Paszkowski J contributed to the study's conception and design. The first draft of the manuscript was written by all authors, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Conflict-of-interest statement: All authors declare no conflict of interest regarding this manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jarosław Cwaliński, MD, PhD, Department of General Endocrinological Surgery and Gastrointestinal Oncology, Poznan University of Medical Sciences, 49 Przybyszewskiego Street, Poznan 60-355, Poland. cwalinski.jaroslaw@spsk2.pl
Received: October 7, 2024 Revised: February 1, 2025 Accepted: February 27, 2025 Published online: May 27, 2025 Processing time: 227 Days and 12.1 Hours
Abstract
Resection of the terminal ileum and ileocecal valve remains the most commonly performed procedure in patients with Crohn's disease. However, despite radical treatment, there is a risk of disease recurrence at the site of the intestinal anastomosis in some cases. Therefore, long-term postoperative management is crucial and requires systematic clinical assessment, endoscopic surveillance, and pharmacological support when indicated. A key challenge is identifying the risk factors associated with the recurrence of anastomotic failure and defining the principles of follow-up care to prevent secondary intestinal insufficiency. This paper focuses on both surgical and non-surgical factors that may play a role in preventing complications in patients undergoing ileocecal resection, providing a comprehensive approach to postoperative management.
Core Tip: The article emphasizes the importance of long-term postoperative management for patients with Crohn's disease after ileocecal resection, as recurrence at the anastomosis site remains a risk. It advocates for systematic clinical assessments, endoscopic surveillance, and pharmacological support when necessary. The authors aim to identify risk factors for recurrence and establish follow-up principles to prevent complications, highlighting both surgical and non-surgical strategies crucial for patient care.
