Early surgical intervention may be a vital strategy for managing uncomplicated ileocecal Crohn’s disease.

• Higher postoperative morbidity was noted in patients operated for complications compared to those with purely inflammatory disease.
• Delaying surgery increases the risk of recurrence; 10 out of 12 studies showed worse long-term control and greater reliance on corticosteroids and advanced therapies.

Surgeons should consider early resection to improve outcomes in these patients.

• Limited pediatric data highlights a gap in understanding how this approach affects younger populations.