Insufficiency of ileocolic anastomosis in Crohn’s disease patients – prevention and treatment

doi:10.4240/wjgs.v17.i5.102064

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May 27, 2025 (publication date) through May 23, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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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

Core Tip

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.