Infliximab use within 3 months before surgery is associated with increased postoperative sepsis, abscess, and readmissions in Crohn's patients. Diverting stoma may protect against these complications.
Taking time to withdraw the colonoscope is essential for maximum detection of serrated polyps. The ability to find adenomas does not necessarily correlate with an ability to find serrated polyps.
While most ISF in CD are found preoperatively, some are still incidental surgical findings. Sigmoid resection and primary repair have comparable morbidity if appropriately individualized. Laparoscopic treatment is acceptable in select cases without added morbidity.
Preoperative serum albumin is an easily available, inexpensive marker in risk stratifying patients undergoing ileoanal pouch surgery. Serum albumin may provide an objective indicator in supporting the decision to undertake a subtotal colectomy as a first step rather than total proctocolectomy with immediate pouch creation.
There are significant differences in interpretation of the shape of lesions of the colorectal mucosa between Japanese colonoscopists and their American counterparts. These differences are likely to account for some of the apparent differences in incidence in series of flat colorectal adenomas reported from Japan and Western countries.
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