Heat-not-burn tobacco, e-cigarettes may be linked to postoperative recurrence of Crohn's disease
A study published in the American Journal of Gastroenterology suggests that users of heat-not-burn tobacco and e-cigarettes face higher rates of postoperative recurrence for Crohn's disease. The findings indicate that these alternatives should be managed similarly to traditional smoking in clinical settings.
Why it matters
This research provides vital health guidance for patients with Crohn's disease, challenging the perception that alternative nicotine products are safer for post-surgical recovery.
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Add as preferred source For patients with Crohn's disease (CD), heat-not-burn tobacco (HNBT) and possibly electronic cigarette (e-cigarette) use are associated with increased postoperative endoscopic recurrence of CD, according to a study published in the August issue of the American Journal of Gastroenterology .
Tommaso Lorenzo Parigi, MD, from IRCCS Ospedale San Raffaele in Milan, and colleagues examined the impact of e-cigarettes and HNBT on postoperative recurrence in patients with CD. Consecutive patients with CD who underwent ileocolic resection and endoscopic evaluation within 1 year were included retrospectively. Patients were classified as nonsmokers, cigarette smokers, HNBT users or e-cigarette users; those using multiple products were excluded. Endoscopic recurrence (Rutgeerts score ≥2) 1 year after surgery was measured as the primary outcome.
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