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Laurence J. Egan, Ireland

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Maria T. Abreu, USAShomron Ben-Horin, IsraelSilvio Danese, ItalyPeter Lakatos, HungaryMiles Parkes, UKGijs van den Brink, NLSéverine Vermeire, Belgium

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Disappointing results following proctectomy with end-colostomy for anorectal Crohn's disease

Takayuki Yamamoto
DOI: http://dx.doi.org/10.1016/j.crohns.2012.08.017 e150 First published online: 1 May 2013

Dear Sir,

I read with interest the article by de Buck van Overstraeten et al., ‘Intersphincteric proctectomy with end-colostomy for anorectal Crohn's disease (CD) results in early and severe proximal colonic recurrence’.1 In their case series, 10 consecutive patients underwent intersphincteric proctectomy with end-colostomy. Early symptomatic recurrence occurred in 9 of the 10 patients at a median follow-up of 9.5 months. Completion colectomy with end-ileostomy was performed in 5 patients. One patient, who underwent a second segmental colectomy with a new end-colostomy, showed again endoscopic recurrence requiring surgery despite anti-TNF-α treatment. …

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