Prognostic value of the modified Rutgeerts' score for long-term outcomes after primary ileocecal resection in Crohn's disease.
Michiel T J BakSebastiaan Ten Bokkel HuininkNicole Stephanie ErlerAlexander G L BodelierGerard DijkstraMariëlle J Romberg-CampsNanne K H De BoerFrank HoentjenLaurents P S StassenAndrea E van der Meulen-de JongRachel L WestOddeke van RulerChristien J van der WoudeAnnemarie C de Vriesnull nullnull nullPublished in: The American journal of gastroenterology (2023)
The increasing mRS corresponds closely with the risk for surgical and clinical recurrence. An index mRS ≥ i2b is associated with surgical recurrence, an index mRS ≥ i1 is associated with clinical recurrence and i1 or i2b with progression to severe endoscopic recurrence. These results support tight monitoring of disease activity and treatment optimization in patients with ileal lesions, and a more conservative management in patients with anastomotic lesions.