Top-down Versus Step-up Strategies to Prevent Postoperative Recurrence in Crohn's Disease.

Background: The best management after ileocolonic resection is still unknown in Crohn's disease (CD). We compared step-up and top-down approaches to prevent short and long-term postoperative recurrences in CD patients.

Methods: From a comprehensive database, consecutive CD patients who underwent intestinal resection (2014-2021) were included.