Top 100 Most Cited

The 100 most-cited papers across the IPAA and pouch-surgery literature, by citation count (NIH Open Citation Collection).

Ranked from the ileal pouch-anal anastomosis (IPAA) and continent-ileostomy literature.

A research reference for clinicians and trainees: rankings are drawn from the published literature, not treatment advice. Always talk with your own care team about what any study means for you.

#PaperAltmetricCitations
1Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies.
Ng · 2017 · Lancet
4,781
2Ulcerative colitis.
Ungaro · 2017 · Lancet
2,898
3British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.
Lamb · 2019 · Gut
1,838
4Ulcerative colitis
Ordás · 2012 · Lancet
1,751
5Epidemiology and natural history of inflammatory bowel diseases.
Cosnes · 2011 · Gastroenterology
1,659
6Third European Evidence-based Consensus on Diagnosis and Management of Ulcerative Colitis. Part 1: Definitions, Diagnosis, Extra-intestinal Manifestations, Pregnancy, Cancer Surveillance, Surgery, and Ileo-anal Pouch Disorders
Magro · 2017 · J Crohns Colitis
1,445
7Inflammatory bowel disease: clinical aspects and established and evolving therapies
Baumgart · 2007 · Lancet
1,444
8Ulcerative colitis and colorectal cancer. A population-based study.
Ekbom · 1990 · N Engl J Med
1,440
9Microbial influences in inflammatory bowel diseases
Sartor · 2008 · Gastroenterology
1,431
10Ulcerative colitis
Kobayashi · 2020 · Nat Rev Dis Primers
1,351
11Ulcerative colitis.
Le Berre Catherine · 2023 · Lancet
1,219
12Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee
Kornbluth · 2010 · Am J Gastroenterol
1,043
13Proctocolectomy without ileostomy for ulcerative colitis.
Parks A · 1978 · Br Med J
1,028
14Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial
Gionchetti · 2000 · Gastroenterology
1,021
15Ileal pouch-anal anastomoses complications and function in 1005 patients
Fazio · 1995 · Ann Surg
959
16Infliximab as rescue therapy in severe to moderately severe ulcerative colitis: a randomized, placebo-controlled study.
Järnerot · 2005 · Gastroenterology
833
17Guidelines for the management of inflammatory bowel disease in adults.
Carter · 2004 · Gut
786
18Reduced Paneth cell alpha-defensins in ileal Crohn's disease
Wehkamp · 2005 · Proc Natl Acad Sci U S A
768
19Probiotic bacteria enhance murine and human intestinal epithelial barrier function.
Madsen · 2001 · Gastroenterology
763
20Therapeutic manipulation of the enteric microflora in inflammatory bowel diseases: antibiotics, probiotics, and prebiotics
Sartor · 2004 · Gastroenterology
758
21Prophylaxis of pouchitis onset with probiotic therapy: a double-blind, placebo-controlled trial
Gionchetti · 2003 · Gastroenterology
749
22Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 2: current management
Dignass · 2012 · J Crohns Colitis
735
23Risk of colorectal cancer in patients with ulcerative colitis: a meta-analysis of population-based cohort studies.
Jess · 2012 · Clin Gastroenterol Hepatol
731
24Early lesions of recurrent Crohn's disease caused by infusion of intestinal contents in excluded ileum.
D'Haens · 1998 · Gastroenterology
682
25Dysbiosis-Induced Secondary Bile Acid Deficiency Promotes Intestinal Inflammation
Sinha · 2020 · Cell Host Microbe
671
26Roles for Intestinal Bacteria, Viruses, and Fungi in Pathogenesis of Inflammatory Bowel Diseases and Therapeutic Approaches
Sartor · 2017 · Gastroenterology
635
27European evidence based consensus for endoscopy in inflammatory bowel disease.
Annese Vito · 2013 · J Crohns Colitis
616
28Once daily high dose probiotic therapy (VSL#3) for maintaining remission in recurrent or refractory pouchitis
Mimura · 2004 · Gut
613
29Predicting outcome in severe ulcerative colitis.
Travis · 1996 · Gut
606
30Effect of faecal stream diversion on recurrence of Crohn's disease in the neoterminal ileum.
Rutgeerts · 1991 · Lancet
598
31Clinical course during the first 10 years of ulcerative colitis: results from a population-based inception cohort (IBSEN Study).
Solberg · 2009 · Scand J Gastroenterol
597
32Pouchitis after ileal pouch-anal anastomosis: a Pouchitis Disease Activity Index
Sandborn · 1994 · Mayo Clin Proc
585
33Total colectomy, mucosal proctectomy, and ileoanal anastomosis.
Utsunomiya · 1980 · Dis Colon Rectum
571
34PSC-IBD: a unique form of inflammatory bowel disease associated with primary sclerosing cholangitis.
Loftus · 2005 · Gut
558
35Prevention of postoperative abdominal adhesions by a sodium hyaluronate-based bioresorbable membrane: a prospective, randomized, double-blind multicenter study
Becker · 1996 · J Am Coll Surg
545
36Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients
Fazio · 2013 · Ann Surg
536
37Ulcerative Colitis in Adults: A Review.
Gros · 2023 · JAMA
527
38Response to corticosteroids in severe ulcerative colitis: a systematic review of the literature and a meta-regression.
Turner · 2007 · Clin Gastroenterol Hepatol
510
39Ciclosporin versus infliximab in patients with severe ulcerative colitis refractory to intravenous steroids: a parallel, open-label randomised controlled trial.
Laharie · 2012 · Lancet
495
40Thirty-year analysis of a colonoscopic surveillance program for neoplasia in ulcerative colitis.
Rutter · 2006 · Gastroenterology
485
41Ulcerative colitis practice guidelines in adults (update): American College of Gastroenterology, Practice Parameters Committee
Kornbluth · 2004 · Am J Gastroenterol
479
42Intra-abdominal "reservoir" in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal "continence" in five ileostomy patients.
Kock · 1969 · Arch Surg
474
43J ileal pouch-anal anastomosis for chronic ulcerative colitis: complications and long-term outcome in 1310 patients
Meagher · 1998 · Br J Surg
461
44Trough serum infliximab: a predictive factor of clinical outcome for infliximab treatment in acute ulcerative colitis.
Seow · 2010 · Gut
453
45Are we telling patients the truth about surveillance colonoscopy in ulcerative colitis?
Bernstein · 1994 · Lancet
452
46Healthcare costs of inflammatory bowel disease have shifted from hospitalisation and surgery towards anti-TNFα therapy: results from the COIN study.
van der Valk · 2014 · Gut
448
47Declining risk of colorectal cancer in inflammatory bowel disease: an updated meta-analysis of population-based cohort studies.
Lutgens · 2013 · Inflamm Bowel Dis
436
48Increasing incidences of inflammatory bowel disease and decreasing surgery rates in Copenhagen City and County, 2003-2005: a population-based study from the Danish Crohn colitis database.
Vind · 2006 · Am J Gastroenterol
430
49Consensus conference: Colorectal cancer screening and surveillance in inflammatory bowel disease.
Itzkowitz · 2005 · Inflamm Bowel Dis
423
50Natural course of Crohn's disease after ileocolic resection: endoscopically visualised ileal ulcers preceding symptoms.
Olaison · 1992 · Gut
414
51Dysplasia-associated lesion or mass (DALM) detected by colonoscopy in long-standing ulcerative colitis: an indication for colectomy.
Blackstone · 1981 · Gastroenterology
413
52Familial adenomatous polyposis
Half · 2009 · Orphanet J Rare Dis
413
53Review article: short chain fatty acids in health and disease
Cook · 1998 · Aliment Pharmacol Ther
400
54Evidence-based clinical practice guidelines for inflammatory bowel disease
Matsuoka · 2018 · J Gastroenterol
398
55Ileal pouch-anal anastomosis for chronic ulcerative colitis. Long-term results
Pemberton · 1987 · Ann Surg
395
56Colorectal cancer risk and mortality in patients with ulcerative colitis.
Langholz · 1992 · Gastroenterology
394
57Incidence and risk factors for cholangiocarcinoma in primary sclerosing cholangitis.
Burak Kelly · 2004 · Am J Gastroenterol
394
58Tight junctions in inflammatory bowel diseases and inflammatory bowel disease associated colorectal cancer.
Landy, Jonathan · 2016 · World J Gastroenterol
393
59Ulcerative colitis and Crohn's disease: a comparison of the colorectal cancer risk in extensive colitis.
Gillen · 1994 · Gut
389
60Management of Paediatric Ulcerative Colitis, Part 1: Ambulatory Care-An Evidence-based Guideline From European Crohn's and Colitis Organization and European Society of Paediatric Gastroenterology, Hepatology and Nutrition
Turner · 2018 · J Pediatr Gastroenterol Nutr
387
61Precancer and cancer in extensive ulcerative colitis: findings among 401 patients over 22 years.
Lennard-Jones · 1990 · Gut
377
62Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh
Sugerman · 1996 · Am J Surg
371
63Pouchitis after ileal pouch-anal anastomosis for ulcerative colitis occurs with increased frequency in patients with associated primary sclerosing cholangitis
Penna · 1996 · Gut
371
64Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease.
Hellers · 1980 · Gut
364
65Long-term functional outcome and quality of life after stapled restorative proctocolectomy
Fazio · 1999 · Ann Surg
364
66Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 3: special situations
Van Assche · 2013 · J Crohns Colitis
363
67Mutations in the p53 gene: an early marker of neoplastic progression in ulcerative colitis.
Brentnall · 1994 · Gastroenterology
362
68Proctocolectomy with ileal reservoir and anal anastomosis
Parks · 1980 · Br J Surg
359
69Beyond endoscopic mucosal healing in UC: histological remission better predicts corticosteroid use and hospitalisation over 6 years of follow-up.
Bryant · 2016 · Gut
357
70Colectomy rate comparison after treatment of ulcerative colitis with placebo or infliximab.
Sandborn · 2009 · Gastroenterology
355
71A randomised dose finding study of oral tacrolimus (FK506) therapy in refractory ulcerative colitis.
Ogata · 2006 · Gut
353
72Differentiating ulcerative colitis from Crohn disease in children and young adults: report of a working group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the Crohn's and Colitis Foundation of America.
Bousvaros · 2007 · J Pediatr Gastroenterol Nutr
351
73Treatment of relapsing mild-to-moderate ulcerative colitis with the probiotic VSL#3 as adjunctive to a standard pharmaceutical treatment: a double-blind, randomized, placebo-controlled study
Tursi · 2010 · Am J Gastroenterol
346
74Randomized comparison of straight and colonic J pouch anastomosis after low anterior resection.
Hallböök · 1996 · Ann Surg
342
75Role of fecal calprotectin as a biomarker of intestinal inflammation in inflammatory bowel disease
Konikoff · 2006 · Inflamm Bowel Dis
340
76Probiotics
Williams · 2010 · Am J Health Syst Pharm
335
77Faecal Microbiota Transplantation for Inflammatory Bowel Disease: A Systematic Review and Meta-analysis
Paramsothy · 2017 · J Crohns Colitis
335
78Randomized, double-blind comparison of 4 mg/kg versus 2 mg/kg intravenous cyclosporine in severe ulcerative colitis.
Van Assche · 2003 · Gastroenterology
330
79Review article: prebiotics in the gastrointestinal tract
Macfarlane · 2006 · Aliment Pharmacol Ther
326
80Mortality in patients with familial adenomatous polyposis.
Arvanitis · 1990 · Dis Colon Rectum
325
81Diagnosis and management of dysplasia in patients with inflammatory bowel diseases.
Itzkowitz Steven · 2004 · Gastroenterology
322
82Chronic ulcerative colitis and colorectal cancer
Rogler · 2014 · Cancer Lett
321
83Pouchitis following ileal pouch-anal anastomosis: definition, pathogenesis, and treatment
Sandborn · 1994 · Gastroenterology
319
84Colorectal cancer and inflammatory bowel disease: epidemiology, risk factors, mechanisms of carcinogenesis and prevention strategies
Triantafillidis · 2009 · Anticancer Res
318
85Changes in clinical characteristics, course, and prognosis of inflammatory bowel disease during the last 5 decades: a population-based study from Copenhagen, Denmark.
Jess · 2007 · Inflamm Bowel Dis
316
86An update on the use and investigation of probiotics in health and disease
Sanders · 2013 · Gut
315
87Microbial network disturbances in relapsing refractory Crohn's disease.
Yilmaz · 2019 · Nat Med
311
88Pouchitis and extraintestinal manifestations of inflammatory bowel disease after ileal pouch-anal anastomosis
Lohmuller · 1990 · Ann Surg
307
89A meta-analysis of probiotic efficacy for gastrointestinal diseases
Ritchie · 2012 · PLoS One
304
90Combination treatment with curcumin and quercetin of adenomas in familial adenomatous polyposis.
Cruz-Correa · 2006 · Clin Gastroenterol Hepatol
301
91An assessment of inflammation in the reservoir after restorative proctocolectomy with ileoanal ileal reservoir
Moskowitz · 1986 · Int J Colorectal Dis
300
92Results at up to 20 years after ileal pouch-anal anastomosis for chronic ulcerative colitis
Hahnloser · 2007 · Br J Surg
297
93Preliminary report: cyclosporin in treatment of severe active ulcerative colitis.
Lichtiger · 1990 · Lancet
295
94Natural history of elderly-onset inflammatory bowel disease: a population-based cohort study.
Charpentier · 2014 · Gut
295
95Early postoperative complications are not increased in patients with Crohn's disease treated perioperatively with infliximab or immunosuppressive therapy.
Colombel · 2004 · Am J Gastroenterol
292
96ECCO-ESCP Consensus on Surgery for Crohn's Disease
Bemelman · 2018 · J Crohns Colitis
290
97Diagnostic accuracy of serological assays in pediatric inflammatory bowel disease.
Ruemmele · 1998 · Gastroenterology
289
98Intravenous cyclosporin in ulcerative colitis: a five-year experience.
Cohen · 1999 · Am J Gastroenterol
287
99Changes in medical treatment and surgery rates in inflammatory bowel disease: a nationwide cohort study 1979-2011.
Rungoe · 2014 · Gut
285
100Laparoscopic colectomy: a critical appraisal
Falk · 1993 · Dis Colon Rectum
284