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Over 80 of cases were performed using a minimally invasive surgical approach, and a majority of patients who were followed long term had restoration of gastrointestinal continuity. Advantages of this approach are the potential willingness to utilize this treatment earlier in the course of disease based upon potential preservation of the colon and fewer long-term adverse consequences.

Recurrence can be due to the same strain or to a different strain (81). Evidence for an impaired immune response comes from small studies.