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2. Short‐term outcomes of surgical treatment for primary ileocaecal Crohn's disease: Results of the Crohn's(urg) study, a multicentre, retrospective, comparative analysis between inflammatory and complicated phenotypes

Author

Avellaneda, Nicolas, primary, Pellino, Gianluca, additional, Maroli, Annalisa, additional, Tottrup, Anders, additional, Bislenghi, Gabriele, additional, Colpaert, Jan, additional, D'Hoore, Andre, additional, Carvello, Michele, additional, Giorgi, Lorenzo, additional, Juachon, Patrizia, additional, Harsløf, Sanne, additional, de Buck Van Overstraeten, Anthony, additional, Olivera, Pablo A., additional, Gomez, Javier, additional, Holubar, Stefan D., additional, Naranjo, Eddy Lincango, additional, Steele, Scott R., additional, Merchea, Amit, additional, Shaker, Andrew, additional, Gallostra, Marc Marti, additional, Kraft, Miquel, additional, Kotze, Paulo Gustavo, additional, Maruyama, Beatriz Yuki, additional, Wexner, Steven D., additional, Garoufalia, Zoe, additional, Chen, Zhihui, additional, Hahnloser, Dieter, additional, Rrupa, Djana, additional, Buskens, Christianne, additional, Haanappel, Anouck, additional, Warusavitarne, Janindra, additional, Williams, Katherine J., additional, Christensen, Peter, additional, Wolthuis, Albert, additional, Potolicchio, Analia, additional, and Spinelli, Antonino, additional

Published
2024
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10. P433 Short-term outcomes of surgical treatment in primary ileocecal Crohn’s disease patients. Results of Crohn’s(urg) study, multicenter, retrospective, comparative analysis between indications for luminal and complicated phenotype

Author

Avellaneda, N L, primary, Pellino, G, additional, Maroli, A, additional, Tottrup, A, additional, Bislenghi, G, additional, Colpaert, J, additional, D'Hoore, A, additional, Giorgi, L, additional, Juachon, P, additional, Harsløf, S, additional, de Buck Van Overstraeten, A, additional, Olivera, P, additional, Gomez, J, additional, Holubar, S, additional, Lincango Naranjo, E, additional, Steele, S, additional, Merchea, A, additional, Shacker, A, additional, Marti Gallostra, M, additional, Kraft, M, additional, Kotze, P G, additional, Yuki Maruyana, B, additional, Wexner, S, additional, Garoufalia, Z, additional, Zhihui, C, additional, Hahnloser, D, additional, Rrupa, D, additional, Buskens, C, additional, Haanappel, A, additional, Warusavitarne, J, additional, Williams, K, additional, Christensen, P, additional, and Spinelli, A, additional

Published
2024
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11. Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or faecal peritonitis (LADIES): a multicentre, parallel-group, randomised, open-label, superiority trial

Author

Hop, WC, Opmeer, BC, Reitsma, JB, Scholte, RA, Waltmann, EWH, Legemate, DA, Bartelsman, JF, Meijer, DW, Ünlü, Ç, Kluit, AB, El-Massoudi, Y, Vuylsteke, RJCLM, Tanis, PJ, Matthijsen, R, Polle, SW, Lagarde, SM, Gisbertz, SS, Wijers, O, van der Bilt, JDW, Boermeester, MA, Blom, R, Gooszen, JAH, Schreinemacher, MHF, van der Zande, T, Leeuwenburgh, MMN, Bartels, SAL, Hesp, WLEM, Koet, L, van der Schelling, GP, van Dessel, E, van Zeeland, MLP, Lensvelt, MMA, Nijhof, H, Verest, S, Buijs, M, Wijsman, JH, Stassen, LPS, Klinkert, M, de Maat, MFG, Sellenraad, G, Jeekel, J, Kleinrensink, GJ, Tha-In, T, Nijboer, WN, Boom, MJ, Verbeek, PCM, Sietses, C, Stommel, MWJ, van Huijstee, PJ, Merkus, JWS, Eefting, D, Mieog, JSD, van Geldere, D, Patijn, GA, de Vries, M, Boskamp, M, Bentohami, A, Bijlsma, TS, de Korte, N, Nio, D, Rijna, H, Luttikhold, J, van Gool, MH, Fekkes, JF, Akkersdijk, GJM, Heuff, G, Jutte, EH, Kortmann, BA, Werkman, JM, Laméris, W, Rietbergen, L, Frankenmolen, P, Draaisma, WA, Stam, MAW, Verweij, MS, Karsten, TM, de Nes, LC, Fortuin, S, de Castro, SM, Doeksen, A, Simons, MP, Koffeman, GI, Steller, EP, Tuynman, JB, Boele van Hensbroek, P, Mok, M, van Diepen, SR, Hulsewé, KWE, Melenhorst, J, Stoot, JHMB, Fransen, S, Sosef, MN, van Bastelaar, J, Vissers, YLJ, Douchy, TPD, Christiaansen, CE, Smeenk, R, Pijnenburg, AM, Tanaydin, V, Veger, HTC, Clermonts, SHEM, Al-Taher, M, de Graaf, EJR, Menon, AG, Vermaas, M, Cense, HA, Jutte, E, Wiezer, MJ, Smits, AB, Westerterp, M, Marsman, HA, Hendriks, ER, van Ruler, O, Vriens, EJC, Vogten, JM, van Rossem, CC, Ohanis, D, Tanis, E, van Grinsven, J, Maring, JK, Heisterkamp, J, Besselink, MGH, Borel Rinkes, IHM, Molenaar, IQ, Joosten, JJA, Jongkind, V, Diepenhorst, GMP, Boute, MC, Smeenge, M, Nielsen, K, Harlaar, JJ, Luyer, MDP, van Montfort, G, Smulders, JF, Daams, F, van Haren, E, Nieuwenhuijzen, GAP, Lauret, GJ, Pereboom, ITA, Stokmans, RA, Birindelli, A, Bianchi, E, Pellegrini, S, Terrasson, I, Wolthuis, A, de Buck van Overstraeten, A, Nijs, S, Lambrichts, Daniël P V, Vennix, Sandra, Musters, Gijsbert D, Mulder, Irene M, Swank, Hilko A, Hoofwijk, Anton G M, Belgers, Eric H J, Stockmann, Hein B A C, Eijsbouts, Quirijn A J, Gerhards, Michael F, van Wagensveld, Bart A, van Geloven, Anna A W, Crolla, Rogier M P H, Nienhuijs, Simon W, Govaert, Marc J P M, di Saverio, Salomone, D'Hoore, André J L, Consten, Esther C J, van Grevenstein, Wilhelmina M U, Pierik, Robert E G J M, Kruyt, Philip M, van der Hoeven, Joost A B, Steup, Willem H, Catena, Fausto, Konsten, Joop L M, Vermeulen, Jefrey, van Dieren, Susan, Bemelman, Willem A, and Lange, Johan F

Published
2019
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15. Recommendations for Standardizing MRI-based Evaluation of Perianal Fistulizing Disease Activity in Pediatric Crohn’s Disease Clinical Trials

Author

Crowley, Eileen, primary, Ma, Christopher, additional, Guizzetti, Leonard, additional, Zou, Guangyong, additional, Lewindon, Peter J, additional, Gee, Michael S, additional, Hyams, Jeffrey S, additional, Rosen, Michael J, additional, von Allmen, Daniel, additional, de Buck van Overstraeten, Anthony, additional, Shackelton, Lisa M, additional, Remillard, Julie, additional, Schleicher, Lauren, additional, Dillman, Jonathan R, additional, Rimola, Jordi, additional, Taylor, Stuart A, additional, Fletcher, Joel G, additional, Church, Peter C, additional, Feagan, Brian G, additional, Griffiths, Anne M, additional, Jairath, Vipul, additional, and Greer, Mary-Louise C, additional

Published
2023
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22. Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial

Author

Hop, W C, Opmeer, B C, Reitsma, J B, Scholte, R A, Waltmann, E W H, Legemate, D A, Bartelsman, J F, Meijer, D W, de Brouwer, M, van Dalen, J, Durbridge, M, Geerdink, M, Ilbrink, G J, Mehmedovic, S, Middelhoek, P, Di Saverio, Salomone, Boom, M J, Consten, E C J, van der Bilt, J D W, van Olden, G D J, Stam, M A W, Verweij, M S, Busch, O R C, Buskens, C J, El-Massoudi, Y, Kluit, A B, van Rossem, C C, Schijven, M P, Tanis, P J, Unlu, C, Gerhards, M F, Karsten, T M, de Nes, L C, Rijna, H, van Wagensveld, B A, Koffeman, G I, Steller, E P, Tuynman, J B, Bruin, S C, van der Peet, D L, Blanken-Peeters, C F J M, Cense, H A, Jutte, E, Crolla, R M P H, van der Schelling, G P, van Zeeland, M, de Graaf, E J R, Groenendijk, R P R, Vermaas, M, Schouten, O, de Vries, M R, Prins, H A, Lips, D J, Bosker, R J I, van der Hoeven, J A B, Diks, J, Plaisier, P W, Kruyt, P M, Sietses, C, Stommel, M W J, Nienhuijs, S W, de Hingh, I H J T, Luyer, M D P, van Montfort, G, Ponten, E H, Smulders, J F, van Duyn, E B, Klaase, J M, Swank, D J, Ottow, R T, Stockmann, H B A C, Vermeulen, J, Vuylsteke, R J C L M, Belgers, H J, Fransen, S, von Meijenfeldt, E M, Sosef, M N, van Geloven, A A W, Hendriks, E R, ter Horst, B, Leeuwenburgh, M M N, van Ruler, O, Vogten, J M, Vriens, E J C, Westerterp, M, Eijsbouts, Q A J, Bentohami, A, Bijlsma, T S, de Korte, N, Nio, D, Govaert, M J P M, Joosten, J J A, Tollenaar, R A E M, Stassen, L P S, Wiezer, M J, Hazebroek, E J, Smits, A B, van Westreenen, H L, Lange, J F, Brandt, A, Nijboer, W N, Toorenvliet, B R, Weidema, W F, Coene, P P L O, Mannaerts, G H H, den Hartog, D, de Vos, R J, Zengerink, J F, Hoofwijk, A G M, Hulsewé, K W E, Melenhorst, J, Stoot, J H M B, Steup, W H, Huijstee, P J, Merkus, J W S, Wever, J J, Maring, J K, Heisterkamp, J, van Grevenstein, W M U, Vriens, M R, Besselink, M G H, Borel Rinkes, I H M, Witkamp, A J, Slooter, G D, Konsten, J L M, Engel, A F, Pierik, E G J M, Frakking, T G, van Geldere, D, Patijn, G A, D'Hoore, A J L, de Buck van Overstraeten, A, Miserez, M, Terrasson, I, Wolthuis, A, De Blasiis, M G, Vennix, Sandra, Musters, Gijsbert D, Mulder, Irene M, Swank, Hilko A, Consten, Esther C, Belgers, Eric H, van Geloven, Anna A, Gerhards, Michael F, Govaert, Marc J, van Grevenstein, Wilhelmina M, Hoofwijk, Anton G, Kruyt, Philip M, Nienhuijs, Simon W, Boermeester, Marja A, Vermeulen, Jefrey, van Dieren, Susan, Lange, Johan F, and Bemelman, Willem A

Published
2015
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24. Indications and Surgical Technique for Transanal Proctectomy and Ileal Pouch–Anal Anastomosis for Inflammatory Bowel Disease

Author

Yuen, Andrew, Brar, Mantaj S., and de Buck van Overstraeten, Anthony

Subjects
Gastroenterology, Surgery
Abstract

Surgical management of inflammatory bowel disease has advanced significantly over the years. One particular focus of its evolution has been to minimize invasiveness. Transanal surgery has given the contemporary surgeon an alternate approach to access the low rectum situated in the confines of the deep pelvis. In benign disease, combining transanal surgery with laparoscopy has allowed for the development of novel techniques to create ileal pouch–anal anastomoses, perform intersphincteric Crohn's proctectomies, manage complications from pelvic surgery, and facilitate redo pelvic surgery. We aim to review the indications for transanal surgery in benign disease, describe an approach to transanal pouch surgery in detail, and discuss the potential benefits, pitfalls, and contentious issues surrounding this approach.

Published
2022

29. Strategies to Distinguish Perianal Fistulas Related to Crohn’s Disease From Cryptoglandular Disease: Systematic Review With Meta-Analysis

Author

Jake Engel, Jeffrey D. McCurdy, Samantha Visva, Ranjeeta Mallick, Anthony de Buck van Overstraeten, Kevin Chin Koon Siw, and Ailsa Hart

Subjects
medicine.medical_specialty, Crohn's disease, medicine.diagnostic_test, business.industry, Cutaneous Fistula, Fistula, Ultrasound, Gastroenterology, Magnetic resonance imaging, medicine.disease, Magnetic Resonance Imaging, Confidence interval, Treatment Outcome, Crohn Disease, Meta-analysis, Humans, Rectal Fistula, Immunology and Allergy, Medicine, Radiology, Calprotectin, business, Prospective cohort study, Leukocyte L1 Antigen Complex
Abstract

Background Management of perianal fistulas differs based on fistula type. We aimed to assess the ability of diagnostic strategies to differentiate between Crohn’s disease (CD) and cryptoglandular disease (CGD) in patients with perianal fistulas. Methods We performed a diagnostic accuracy systematic review and meta-analysis. A systematic search of electronic databases was performed from inception through February 2021 for studies assessing a diagnostic test’s ability to distinguish fistula types. We calculated weighted summary estimates with 95% confidence intervals for sensitivity and specificity by bivariate analysis, using fixed effects models when data were available from 2 or more studies. The Quality Assessment of Diagnostic Accuracy Studies tool was used to assess study quality. Results Twenty-one studies were identified and included clinical symptoms (2 studies; n=154), magnetic resonance imaging (MRI) characteristics (3 studies; n=296), ultrasound characteristics (7 studies; n=1003), video capsule endoscopy (2 studies; n=44), fecal calprotectin (1 study; n=56), and various biomarkers (8 studies; n=440). MRI and ultrasound characteristics had the most robust data. Rectal inflammation, multiple-branched fistula tracts, and abscesses on pelvic MRI and the Crohn’s ultrasound fistula sign, fistula debris, and bifurcated fistulas on pelvic ultrasonography had high specificity (range, 80%-95% vs 89%-96%) but poor sensitivity (range, 17%-37% vs 31%-63%), respectively. Fourteen of 21 studies had risk of bias on at least 1 of the Quality Assessment of Diagnostic Accuracy Studies domains. Conclusions Limited high-quality evidence suggest that imaging characteristics may help discriminate CD from CGD in patients with perianal fistulas. Larger, prospective studies are needed to confirm these findings and to evaluate if combining multiple diagnostic tests can improve diagnostic sensitivity.

Published
2021

32. ECCO-ESCP Consensus on Surgery for Crohn’s Disease

Author

Bemelman, Willem A, Warusavitarne, Janindra, Sampietro, Gianluca M, Serclova, Zuzana, Zmora, Oded, Luglio, Gaetano, de Buck van Overstraeten, Anthony, Burke, John P, Buskens, Christianne J, Colombo, Francesco, Dias, Jorge Amil, Eliakim, Rami, Elosua, Tomás, Gecim, I Ethem, Kolacek, Sanja, Kierkus, Jaroslaw, Kolho, Kaija-Leena, Lefevre, Jérémie H, Millan, Monica, Panis, Yves, Pinkney, Thomas, Russell, Richard K, Shwaartz, Chaya, Vaizey, Carolynne, Yassin, Nuha, and D’Hoore, André

Published
2018
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35. Colonic disease recurrence following proctectomy with end colostomy for anorectal Crohn’s disease

Author

Anthony de Buck van Overstraeten, Amy L. Lightner, Xue Jia, Scott R. Steele, Conor P. Delaney, Prashansha Vaidya, John McMichael, Mantaj S. Brar, and Olga A Lavryk

Subjects
medicine.medical_specialty, medicine.medical_treatment, Disease, Colonic Diseases, Ileostomy, Crohn Disease, Recurrence, Neoplasms, Colostomy, medicine, Humans, Proctitis, Retrospective Studies, Colectomy, Crohn's disease, business.industry, Proctocolectomy, Restorative, Gastroenterology, Middle Aged, Anal canal, medicine.disease, Surgery, Stenosis, Treatment Outcome, medicine.anatomical_structure, Female, business
Abstract

Aim In patients with anorectal Crohn's disease, it remains uncertain whether a total proctocolectomy with end ileostomy or proctectomy with end colostomy should be recommended due to the unknown rate of disease recurrence in the remaining colon. Methods A retrospective review of all patients with a known diagnosis of Crohn's disease who underwent a proctectomy with end colostomy for distal Crohn's disease between January 1, 2010 and January 1, 2019 at two IBD referral centres was conducted. Data collected included patient demographics, surgical variables at the time of proctectomy, and postoperative clinical, endoscopic and surgical recurrence rates. Results A total of 63 patients were included; mean age was 47 years (SD 15 years) and 32 (50.8%) were female. The majority of patients underwent a proctectomy with end colostomy (n = 56; 88.9%) while the remaining seven patients (11.1%) underwent a proctectomy with end colostomy and concurrent ileocectomy. A total of 55 patients (87.3%) had proctitis, 51 (81%) had perianal fistulating disease, and 34 (54%) had anal canal stenosis or ulceration. Most patients had medically refractory disease (n = 54; 85.7%) versus neoplasia (n = 9; 14.3%). The median length of long-term follow-up was 17.7 months (IQR: 4.72, 38.7 months). During that time, 14 (22.2%) experienced clinical recurrence, 10 of 34 evaluated (29.4%) had endoscopic recurrence, and 3 (4.76%) required a completion total abdominal colectomy for recurrent medically refractory disease in the colon. Conclusion Colonic recurrence remains low following proctectomy and descending colostomy suggesting this operative management strategy is reasonable in Crohn's patients with distal disease.

Published
2021

37. Transabdominal Ileal Pouch Anal Anastomosis Revision: Does Indication Dictates Outcome?

Author

Amandeep, Pooni, Mantaj S, Brar, Erin, Kennedy, Zane, Cohen, Helen, MacRae, and Anthony, de Buck van Overstraeten

Abstract

Following ileal pouch-anal anastomosis failure, select patients are eligible for ileal pouch-anal anastomosis revision. Presently, there is limited evidence describing long-term revision outcomes and predictors of revision failure. This represents an important knowledge gap when selecting and counselling patients.To define long-term IPAA survival outcomes following transabdominal ileal pouch-anal anastomosis revision and identify preoperative clinical factors associated with revision failure.This was a retrospective cohort study.This study was conducted at a tertiary referral center.All patients who underwent revisional ileal pouch-anal anastomosis surgery between 1982 and 2017 for pouch failure.Transabdominal ileal pouch-anal anastomosis revision.The primary outcome is pouch failure, defined as pouch excision or permanent pouch diversion, following ileal pouch-anal anastomosis revision.A total of 159 patients (64.2% females) with a median age at revision of 36 years (IQR: 28.5-46.5), were included. Eighty percent had a primary diagnosis of ulcerative colitis. The most common indication for revision was leak/pelvic sepsis, representing 41% of the cohort, followed by pouch vaginal fistula (22.2%), mechanical factors (20.4%) and poor pouch function 14.6%. Over the study period 56 patients (35.2%) experience pouch failure. The 3, 5 and 10-year pouch survival probabilities were 82.3% (95% CI: 75.5%-87.5%), 77.2% (95% CI: 69.8%-83.0%) and 70.6% (95% CI: 62.6%-77.2%), respectively. Compared to mechanical factors, pouch failure was significantly associated with pelvic sepsis (HR=4.25, 95% CI: 1.50-12.0) and pouch vaginal fistula (HR=4.37, 95% CI: 1.47-12.99). There was no significant association between revision failure and prior revision, redo ileoanal anastomosis or new pouch construction.This is study is limited by its retrospective design.Revisional ileal pouch-anal anastomosis can be undertaken with favorable long-term outcomes at high volume centers. Consideration should be given to indication for revision when counseling patients regarding risk of failure. Further research on risk stratifying patients prior to revision is required. See Video Abstract at http://links.lww.com/DCR/B966.

Published
2022

38. Examination Under Anesthesia May Not Be Universally Required Prior to Anti-TNF Therapy in Perianal Crohn's Disease: A Comparative Cohort Study

Author

Melissa Chan, Moses Fung, Kevin Chin Koon Siw, Reena Khanna, Anthony de Buck van Overstraeten, Elham Sabri, and Jeffrey D McCurdy

Subjects
Gastroenterology, Immunology and Allergy
Abstract

Background Multidisciplinary care involving exam under anesthesia (EUA) and tumor necrosis factor (TNF) inhibitors is recommended for perianal Crohn’s disease. However, the impact of this combined approach is not well established. Methods We performed a comparative cohort study between 2009 and 2019. Patients with perianal Crohn’s disease treated with EUA before anti-TNF therapy (combined modality therapy) were compared with anti-TNF alone. The primary outcome was fistula closure assessed clinically. Secondary outcomes included subsequent local surgery and fecal diversion. Multivariable analysis adjusted for abscesses, concomitant immunomodulators, and time to anti-TNF initiation was performed. Results Anti-TNF treatment was initiated 188 times in 155 distinct patients: 66 (35%) after EUA. Abscesses (50% vs 15%; P < .001) and concomitant immunomodulators (64% vs 50%; P = .07) were more common in the combined modality group, while age, smoking status, disease duration, and intestinal disease location were not significantly different. Combined modality therapy was not associated with higher rates of fistula closure at 3 (adjusted odds ratio [aOR], 0.7; 95% confidence interval [CI], 0.3-1.8), 6 (aOR, 0.8; 95% CI, 0.4-2.0) and 12 (aOR, 1.0; 95% CI, 0.4-2.2) months. After a median follow-up of 4.6 (interquartile range, 5.95; 2.23-8.18) years, combined therapy was associated with subsequent local surgical intervention (adjusted hazard ratio, 2.2; 95% CI, 1.3-3.6) but not with fecal diversion (adjusted hazard ratio, 1.3; 95% CI, 0.45-3.9). Results remained consistent when excluding patients with abscesses and prior biologic failure. Conclusions EUA before anti-TNF therapy was not associated with improved clinical outcomes compared with anti-TNF therapy alone, suggesting that EUA may not be universally required. Future prospective studies controlling for fistula severity are warranted.

Published
2022

41. Comparison of health-related quality of life and disability in ulcerative colitis patients following restorative proctocolectomy with ileal pouch-anal anastomosis versus anti-tumor necrosis factor therapy

Author

van Gennep, Sara, Sahami, Saloomeh, Buskens, Christianne J., van den Brink, Gijs R., Ponsioen, Cyriel Y., D’Hoore, André, de Buck van Overstraeten, Anthony, van Assche, Gert, Ferrante, Marc, Vermeire, Séverine, Bemelman, Willem A., D’Haens, Geert R.A.M., and Löwenberg, Mark

Published
2017
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