Koch T R, Cave D R, Ford H, Kirsner J B
Dig Dis Sci. 1981 Jun;26(6):528-31. doi: 10.1007/BF01308102.
The records were reviewed of 56 consecutive patients with Crohn's disease (CD) who had had an ileocolonic anastomosis formed during surgical resection for Crohn's ileitis or ileocolitis. Twenty-seven patients (48%) were found to have radiological, pathological, or surgical evidence of recurrent CD. Of 24 patients with a diagnosis of Crohn's ileitis at initial surgery, 9 were found to have recurrent disease proximal to the anastomotic site. Of 32 patients with ileocolitis, 11 had recurrent disease proximal and distal to the anastomosis. Contrary to many prior reports, recurrent CD is not always located proximally to a surgical anastomosis. The distribution of recurrent CD tends to be a statistically significant function of the initial anatomical location with proximal recurrence found most often in Crohn's ileitis, while proximal and distal recurrence is associated with Crohn's ileocolitis (X2 = 4.5 P less than 0.05).
对56例连续性克罗恩病（CD）患者的记录进行了回顾，这些患者在因克罗恩回肠炎或回结肠炎症进行手术切除时形成了回结肠吻合术。发现27例患者（48%）有复发性CD的放射学、病理学或手术证据。在初次手术诊断为克罗恩回肠炎的24例患者中，9例在吻合口近端发现有复发性疾病。在32例回结肠炎症患者中，11例在吻合口近端和远端均有复发性疾病。与许多先前的报告相反，复发性CD并不总是位于手术吻合口的近端。复发性CD的分布倾向于作为初始解剖位置的统计学显著函数，近端复发最常见于克罗恩回肠炎，而近端和远端复发与克罗恩回结肠炎症相关（X2 = 4.5，P小于0.05）。
