Surgical Treatment for Crohn's Disease: A Role of Kono-S Anastomosis in the West.

ABSTRACT: More than 80% of patients with Crohn's disease (CD) will require surgical intervention during their lifetime, with high rates of anastomotic recurrence and stenosis necessitating repeat surgery. Current data show that pharmacotherapy has not significantly improved the natural history of postoperative clinical and surgical recurrence of CD. In 2003, antimesenteric hand-sewn functional end-to-end (Kono-S) anastomosis was first performed in Japan. This technique has yielded very desirable outcomes in terms of reducing the incidence of anastomotic surgical recurrence. The most recent follow-up of these patients showed that very few had developed surgical recurrence. This new approach is superior to stapled functional end-to-end anastomosis because the stumps are sutured together to create a st

SUBMITTER: Kono T 

PROVIDER: S-EPMC7605911 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature