Abstract
Background: Two thirds of Crohn’s disease CD patients will require an intestinal resection. Postoperative recurrence is common. The severity of endoscopic recurrence is associated with early clinical recurrence and the need for reoperation. Postoperative endoscopic revision from 6 12 months after surgery has been protocolized with the purpose of detecting early recurrence and of introducing the best possible treatment. Methods: The aim was to compare Magnetic Resonance Enterography MRE and endoscopy in the detection of postsurgical recurrence. Thirty-six CD patients (females 21; mean age 41.2 years) with intestinal resection and ileocolic anastomosis underwent ileocolonoscopy and MRE. Diagnosis and grading was made according to the Rutgeerts score. MRE studies were performed at 1.0 T and evaluated by two radiologists with experience in abdominal radiology, blinded to endoscopy. A global assessment of disease activity at the anastomosis was performed using the MRE score for CD of our Hospital.
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