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  • Title: Recurrent small bowel Crohn's disease is more frequent after subtotal colectomy and ileorectal anastomosis than proctocolectomy.
    Author: Scammell B, Ambrose NS, Alexander-Williams J, Allan RN, Keighley MR.
    Journal: Dis Colon Rectum; 1985 Nov; 28(11):770-1. PubMed ID: 4053885.
    Abstract:
    The cumulative probability of reoperation for recurrent ileal Crohn's disease at five years was: 17 percent following ileocecal resection, 19 percent following proctocolectomy, and 28 percent after ileorectal anastomosis. At ten years, the rate of ileal recurrence was significantly less after proctocolectomy; 24 percent as compared with 43 percent for ileorectal anastomosis (P less than 0.01), whereas ileocecal resection assumed an intermediary position with 35 percent.
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