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

Table 1 Advantages and disadvantages of proactive pharmacologic strategy for Crohn’s disease patient post-ileocecal resection, and proposed qualification criteria

Qualification criteria	Advantages	Disadvantages
History of multiple bowel resections	Lower risk of disease recurrence	Higher cost
Perianal involvement	Lower risk of disease-related complications	Risk of overtreatment
Penetrating disease behavior
Patients under 30 years old
Smokers
Presence of granulomas in resection specimen
Presence of myenteric plexitis

Table 2 Detailed description of REMIND score according to Hammoudi et al[54]

REMIND score
Anastomotic lesions (< 1 cm in length after the anastomosis)
A(0)	No lesion
A(1)	Ulcerations covering less than 50% of the anastomosis circumference
A(2)	Ulcerations covering more than 50% of the anastomosis circumference
A(3)	Anastomotic stenosis
Ileal lesions
I(0)	No lesion
I(1)	≤ 5 aphthous ulcers
I(2)	> 5 aphthous lesions with normal intervening mucosa or skip areas of larger lesions
I(3)	Diffuse aphthous ileitis with diffusely inflamed mucosa
I(4)	Diffuse inflammation with larger ulcers