Top 100 Most-Cited Papers

The 100 most-cited papers across the ulcerative-colitis surgical and high-acuity literature, by citation count (NIH Open Citation Collection).

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.

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1Ulcerative colitis.
Ungaro R · 2017 · Lancet
2,867
2British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults.
Lamb CA · 2019 · Gut
1,824
3IL-6 and Stat3 are required for survival of intestinal epithelial cells and development of colitis-associated cancer.
Grivennikov S · 2009 · Cancer Cell
1,815
4Ulcerative colitis.
Ordás I · 2012 · Lancet
1,735
5Epidemiology and natural history of inflammatory bowel diseases.
Cosnes J · 2011 · Gastroenterology
1,653
6Dysplasia in inflammatory bowel disease: standardized classification with provisional clinical applications.
Riddell RH · 1983 · Hum Pathol
1,590
7Inflammatory bowel disease: clinical aspects and established and evolving therapies.
Baumgart DC · 2007 · Lancet
1,440
8Third 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 F · 2017 · J Crohns Colitis
1,440
9Ulcerative colitis and colorectal cancer. A population-based study.
Ekbom A · 1990 · N Engl J Med
1,439
10Cyclosporine in severe ulcerative colitis refractory to steroid therapy.
Lichtiger S · 1994 · N Engl J Med
1,433
11Ulcerative colitis.
Kobayashi T · 2020 · Nat Rev Dis Primers
1,324
12Ulcerative colitis.
Le Berre C · 2023 · Lancet
1,176
13Meta-analysis identifies 29 additional ulcerative colitis risk loci, increasing the number of confirmed associations to 47.
Anderson CA · 2011 · Nat Genet
1,078
14Oral bacteriotherapy as maintenance treatment in patients with chronic pouchitis: a double-blind, placebo-controlled trial.
Gionchetti P · 2000 · Gastroenterology
1,021
15Inflammation and cancer IV. Colorectal cancer in inflammatory bowel disease: the role of inflammation.
Itzkowitz SH · 2004 · Am J Physiol Gastrointest Liver Physiol
1,019
16Ileal pouch-anal anastomoses complications and function in 1005 patients.
Fazio VW · 1995 · Ann Surg
958
17Mucosal healing in inflammatory bowel disease: results from a Norwegian population-based cohort.
Frøslie KF · 2007 · Gastroenterology
936
18Intestinal inflammation and cancer.
Ullman TA · 2011 · Gastroenterology
912
19Infliximab as rescue therapy in severe to moderately severe ulcerative colitis: a randomized, placebo-controlled study.
Järnerot G · 2005 · Gastroenterology
831
20Early mucosal healing with infliximab is associated with improved long-term clinical outcomes in ulcerative colitis.
Colombel JF · 2011 · Gastroenterology
766
21Blocking TNF-alpha in mice reduces colorectal carcinogenesis associated with chronic colitis.
Popivanova BK · 2008 · J Clin Invest
755
22Prophylaxis of pouchitis onset with probiotic therapy: a double-blind, placebo-controlled trial.
Gionchetti P · 2003 · Gastroenterology
748
23Second European evidence-based consensus on the diagnosis and management of ulcerative colitis part 2: current management.
Dignass A · 2012 · J Crohns Colitis
735
24Risk of colorectal cancer in patients with ulcerative colitis: a meta-analysis of population-based cohort studies.
Jess T · 2012 · Clin Gastroenterol Hepatol
722
25Edible ginger-derived nanoparticles: A novel therapeutic approach for the prevention and treatment of inflammatory bowel disease and colitis-associated cancer.
Zhang M · 2016 · Biomaterials
687
26Dysbiosis-Induced Secondary Bile Acid Deficiency Promotes Intestinal Inflammation.
Sinha SR · 2020 · Cell Host Microbe
661
27Methylene blue-aided chromoendoscopy for the detection of intraepithelial neoplasia and colon cancer in ulcerative colitis.
Kiesslich R · 2003 · Gastroenterology
650
28Colorectal Cancer in Inflammatory Bowel Disease: Mechanisms and Management.
Shah SC · 2022 · Gastroenterology
643
29Histologic inflammation is a risk factor for progression to colorectal neoplasia in ulcerative colitis: a cohort study.
Gupta RB · 2007 · Gastroenterology
624
30European evidence based consensus for endoscopy in inflammatory bowel disease.
Annese V · 2013 · J Crohns Colitis
612
31Predicting outcome in severe ulcerative colitis.
Travis SP · 1996 · Gut
601
32Clinical course during the first 10 years of ulcerative colitis: results from a population-based inception cohort (IBSEN Study).
Solberg IC · 2009 · Scand J Gastroenterol
594
33Pouchitis after ileal pouch-anal anastomosis: a Pouchitis Disease Activity Index.
Sandborn WJ · 1994 · Mayo Clin Proc
584
34AGA Clinical Practice Guidelines on the Management of Moderate to Severe Ulcerative Colitis.
Feuerstein JD · 2020 · Gastroenterology
557
35Prevention of postoperative abdominal adhesions by a sodium hyaluronate-based bioresorbable membrane: a prospective, randomized, double-blind multicenter study.
Becker JM · 1996 · J Am Coll Surg
545
36Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients.
Fazio VW · 2013 · Ann Surg
535
37Toll-like receptor-4 promotes the development of colitis-associated colorectal tumors.
Fukata M · 2007 · Gastroenterology
527
38Course of ulcerative colitis: analysis of changes in disease activity over years.
Langholz E · 1994 · Gastroenterology
526
39Ulcerative Colitis in Adults: A Review.
Gros B · 2023 · JAMA
515
40Response to corticosteroids in severe ulcerative colitis: a systematic review of the literature and a meta-regression.
Turner D · 2007 · Clin Gastroenterol Hepatol
506
41Intraluminal pH of the human gastrointestinal tract.
Fallingborg J · 1999 · Dan Med Bull
500
42Fecal microbiota transplant for treatment of Clostridium difficile infection in immunocompromised patients.
Kelly CR · 2014 · Am J Gastroenterol
498
43Ciclosporin versus infliximab in patients with severe ulcerative colitis refractory to intravenous steroids: a parallel, open-label randomised controlled trial.
Laharie D · 2012 · Lancet
492
44Sphingosine-1-phosphate links persistent STAT3 activation, chronic intestinal inflammation, and development of colitis-associated cancer.
Liang J · 2013 · Cancer Cell
489
45Thirty-year analysis of a colonoscopic surveillance program for neoplasia in ulcerative colitis.
Rutter MD · 2006 · Gastroenterology
485
46A distinct subset of antineutrophil cytoplasmic antibodies is associated with inflammatory bowel disease.
Saxon A · 1990 · J Allergy Clin Immunol
479
47Epithelial IL-18 Equilibrium Controls Barrier Function in Colitis.
Nowarski R · 2015 · Cell
471
48Altered tight junction structure contributes to the impaired epithelial barrier function in ulcerative colitis.
Schmitz H · 1999 · Gastroenterology
467
49J ileal pouch-anal anastomosis for chronic ulcerative colitis: complications and long-term outcome in 1310 patients.
Meagher AP · 1998 · Br J Surg
461
50Trough serum infliximab: a predictive factor of clinical outcome for infliximab treatment in acute ulcerative colitis.
Seow CH · 2010 · Gut
453
51Are we telling patients the truth about surveillance colonoscopy in ulcerative colitis?
Bernstein CN · 1994 · Lancet
452
52Impact of Clostridium difficile on inflammatory bowel disease.
Issa M · 2007 · Clin Gastroenterol Hepatol
449
53Declining risk of colorectal cancer in inflammatory bowel disease: an updated meta-analysis of population-based cohort studies.
Lutgens MW · 2013 · Inflamm Bowel Dis
434
54A comprehensive review and update on ulcerative colitis.
Gajendran M · 2019 · Dis Mon
429
55Consensus conference: Colorectal cancer screening and surveillance in inflammatory bowel disease.
Itzkowitz SH · 2005 · Inflamm Bowel Dis
423
56Evidence-based clinical practice guidelines for inflammatory bowel disease.
Matsuoka K · 2018 · J Gastroenterol
396
57Ileal pouch-anal anastomosis for chronic ulcerative colitis. Long-term results.
Pemberton JH · 1987 · Ann Surg
395
58Colorectal cancer risk and mortality in patients with ulcerative colitis.
Langholz E · 1992 · Gastroenterology
394
59Randomised controlled trial of azathioprine and 5-aminosalicylic acid for treatment of steroid dependent ulcerative colitis.
Ardizzone S · 2006 · Gut
391
60Ulcerative colitis and Crohn's disease: a comparison of the colorectal cancer risk in extensive colitis.
Gillen CD · 1994 · Gut
389
61Management 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 D · 2018 · J Pediatr Gastroenterol Nutr
382
62C-reactive protein as a marker for inflammatory bowel disease.
Vermeire S · 2004 · Inflamm Bowel Dis
379
63A comprehensive review and update on Crohn's disease.
Gajendran M · 2018 · Dis Mon
379
64Precancer and cancer in extensive ulcerative colitis: findings among 401 patients over 22 years.
Lennard-Jones JE · 1990 · Gut
377
65Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh.
Sugerman HJ · 1996 · Am J Surg
371
66Pouchitis after ileal pouch-anal anastomosis for ulcerative colitis occurs with increased frequency in patients with associated primary sclerosing cholangitis.
Penna C · 1996 · Gut
371
67Natural History of Adult Ulcerative Colitis in Population-based Cohorts: A Systematic Review.
Fumery M · 2018 · Clin Gastroenterol Hepatol
368
68Long-term functional outcome and quality of life after stapled restorative proctocolectomy.
Fazio VW · 1999 · Ann Surg
364
69Factors affecting the outcome of endoscopic surveillance for cancer in ulcerative colitis.
Connell WR · 1994 · Gastroenterology
364
70Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity.
Sugerman H · 1997 · J Intern Med
363
71Mutations in the p53 gene: an early marker of neoplastic progression in ulcerative colitis.
Brentnall TA · 1994 · Gastroenterology
363
72Oxidative stress and ulcerative colitis-associated carcinogenesis: studies in humans and animal models.
Seril DN · 2003 · Carcinogenesis
356
73Colectomy rate comparison after treatment of ulcerative colitis with placebo or infliximab.
Sandborn WJ · 2009 · Gastroenterology
355
74Beyond endoscopic mucosal healing in UC: histological remission better predicts corticosteroid use and hospitalisation over 6 years of follow-up.
Bryant RV · 2016 · Gut
354
75The London Position Statement of the World Congress of Gastroenterology on Biological Therapy for IBD with the European Crohn's and Colitis Organization: when to start, when to stop, which drug to choose, and how to predict response?
D'Haens GR · 2011 · Am J Gastroenterol
354
76A randomised dose finding study of oral tacrolimus (FK506) therapy in refractory ulcerative colitis.
Ogata H · 2006 · Gut
352
77Infliximab in the treatment of severe, steroid-refractory ulcerative colitis: a pilot study.
Sands BE · 2001 · Inflamm Bowel Dis
348
78The Burden of Inflammatory Bowel Disease in Europe in 2020.
Zhao M · 2021 · J Crohns Colitis
343
79CX₃CR1⁺ mononuclear phagocytes support colitis-associated innate lymphoid cell production of IL-22.
Longman RS · 2014 · J Exp Med
334
80Randomized, double-blind comparison of 4 mg/kg versus 2 mg/kg intravenous cyclosporine in severe ulcerative colitis.
Van Assche G · 2003 · Gastroenterology
330
81Modulation of the intestinal microbiota alters colitis-associated colorectal cancer susceptibility.
Uronis JM · 2009 · PLoS One
327
82Diagnosis and management of dysplasia in patients with inflammatory bowel diseases.
Itzkowitz SH · 2004 · Gastroenterology
322
83Recent insights into the genetics of inflammatory bowel disease.
Cho JH · 2011 · Gastroenterology
321
84The pattern and outcome of acute severe colitis.
Dinesen LC · 2010 · J Crohns Colitis
321
85Intravenous cyclosporine versus intravenous corticosteroids as single therapy for severe attacks of ulcerative colitis.
D'Haens G · 2001 · Gastroenterology
319
86Pouchitis following ileal pouch-anal anastomosis: definition, pathogenesis, and treatment.
Sandborn WJ · 1994 · Gastroenterology
319
87Chronic ulcerative colitis and colorectal cancer.
Rogler G · 2014 · Cancer Lett
318
88Colorectal cancer and inflammatory bowel disease: epidemiology, risk factors, mechanisms of carcinogenesis and prevention strategies.
Triantafillidis JK · 2009 · Anticancer Res
316
89Changes in clinical characteristics, course, and prognosis of inflammatory bowel disease during the last 5 decades: a population-based study from Copenhagen, Denmark.
Jess T · 2007 · Inflamm Bowel Dis
314
90Chronic intestinal inflammation: inflammatory bowel disease and colitis-associated colon cancer.
Rubin DC · 2012 · Front Immunol
312
91East-West gradient in the incidence of inflammatory bowel disease in Europe: the ECCO-EpiCom inception cohort.
Burisch J · 2014 · Gut
311
92Pouchitis and extraintestinal manifestations of inflammatory bowel disease after ileal pouch-anal anastomosis.
Lohmuller JL · 1990 · Ann Surg
307
93Clinical patterns, natural history, and progression of ulcerative colitis. A long-term follow-up of 1116 patients.
Farmer RG · 1993 · Dig Dis Sci
304
94Mucosal Healing Is Associated With Improved Long-term Outcomes of Patients With Ulcerative Colitis: A Systematic Review and Meta-analysis.
Shah SC · 2016 · Clin Gastroenterol Hepatol
303
95An assessment of inflammation in the reservoir after restorative proctocolectomy with ileoanal ileal reservoir.
Moskowitz RL · 1986 · Int J Colorectal Dis
300
96Review article: the role of oxidative stress in pathogenesis and treatment of inflammatory bowel diseases.
Piechota-Polanczyk A · 2014 · Naunyn Schmiedebergs Arch Pharmacol
297
97Results at up to 20 years after ileal pouch-anal anastomosis for chronic ulcerative colitis.
Hahnloser D · 2007 · Br J Surg
297
98Preliminary report: cyclosporin in treatment of severe active ulcerative colitis.
Lichtiger S · 1990 · Lancet
294
99Natural history of elderly-onset inflammatory bowel disease: a population-based cohort study.
Charpentier C · 2014 · Gut
293
100Anti-neutrophil cytoplasmic antibodies in ulcerative colitis. Comparison with other colitides/diarrheal illnesses.
Duerr RH · 1991 · Gastroenterology
286