scholarly journals Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence

2021 ◽  
Author(s):  
Kazuhiro Watanabe ◽  
Iwao Sasaki ◽  
Atsushi Kohyama ◽  
Hideyuki Suzuki ◽  
Minoru Kobayashi ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Surgical Technique ◽  
Anastomotic Recurrence ◽  
Early Results ◽  
End To End

Stapled functional end-to-end anastomosis in Crohn’s disease

Surgery Today ◽  
1999 ◽  
Vol 29 (7) ◽  
pp. 679-681 ◽  
Author(s):  
Takayuki Yamamoto ◽  
Michael R. B. Keighley
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
End To End

scholarly journals Experiences with the Kono-S anastomosis in Crohn’s disease of the terminal ileum—a cohort study

2020 ◽  
Author(s):  
K. Horisberger ◽  
D. L. Birrer ◽  
A. Rickenbacher ◽  
M. Turina
Keyword(s):  
Cohort Study ◽  
Crohn’S Disease ◽  
Postoperative Complications ◽  
Crohn's Disease ◽  
Terminal Ileum ◽  
Ileocecal Resection ◽  
Anastomotic Recurrence ◽  
Short Term ◽  
Recurrence Rates

Abstract Purpose The most frequent long-term complication after ileocecal resection in Crohn’s disease is anastomotic recurrence and subsequent stenosis. Recurrence typically begins at the site of the anastomosis, raising the question of whether the surgical technique of the anastomosis could affect recurrence rates. Kono-S anastomosis is a hand-sewn antimesenteric functional end-to-end anastomosis that offers a wide lumen that is well accessible for endoscopic dilatation. The purpose of our study is to review the rate of postoperative complications almost 2 years after the introduction of this technique. Materials and methods This is a prospective single-center cohort study of all consecutive patients with Crohn’s disease undergoing ileocecal resection. Patients’ characteristics as well as specific data for the surgical procedure and short-term outcome were evaluated. Results Thirty patients were operated for Crohn’s disease of the terminal ileum (n = 24) or anastomotic recurrence (n = 6). Postoperative complications with a Clavien-Dindo Score ≥ IIIb were observed in three patients. One patient showed a hemorrhage and underwent surgical hemostasis. Two patients developed anastomotic leakage; in both cases, ileostomy was created after resection of the anastomosis. The median hospital stay was 9 days (IQR 7–12). A comparison with a historic group of conventionally operated patients of our hospital revealed no differences in short-term results except for the duration of surgery. Conclusion The Kono-S anastomosis is associated with acceptable short-term results, complications, and recurrence rates comparable with the established anastomotic techniques. Longer operation times are observed, but the few published studies concerning long-term recurrence are promising.

Surgical features to reduce anastomotic recurrence of Crohn’s disease that requires reoperation: a systematic review

Surgery Today ◽  
2021 ◽  
Author(s):  
Tarek Kellil ◽  
Mohamed Ali Chaouch ◽  
Arwa Guedich ◽  
Wassim Touir ◽  
Chadli Dziri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Anastomotic Recurrence

Stapled Functional End-to-End Anastomosis in Crohn's Disease

Surgery Today ◽  
1999 ◽  
Vol 29 (7) ◽  
pp. 679-681 ◽  
Author(s):  
Takayuki Yamamoto ◽  
Michael R. B. Keighley
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
End To End

Response to Comment on “Surgical Prevention of Anastomotic Recurrence by Excluding Mesentery in Crohn's Disease

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Gaetano Luglio ◽  
Nicola Imperatore ◽  
Francesca Paola Tropeano ◽  
Antonio Rispo
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Anastomotic Recurrence ◽  
Surgical Prevention

Stapled Side-to-Side Anastomosis Might Be Better Than Handsewn End-to-End Anastomosis in Ileocolic Resection for Crohn’s Disease: A Meta-Analysis

2014 ◽  
Vol 59 (7) ◽  
pp. 1544-1551 ◽  
Author(s):  
Xiaosheng He ◽  
Zexian Chen ◽  
Juanni Huang ◽  
Lei Lian ◽  
Santosh Rouniyar ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Meta Analysis ◽  
Ileocolic Resection ◽  
End To End ◽  
Better Than

scholarly journals Duodenojejunal Bypass and Strictureplasty for Diffuse Small Bowel Crohn’s Disease with a Step-by-Step Visual Guide

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Chun Hin Angus Lee ◽  
Florian Rieder ◽  
Stefan D Holubar
Keyword(s):  
Small Intestine ◽  
Crohn’S Disease ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Surgical Technique ◽  
Surgical Intervention ◽  
Bypass Operation ◽  
Inflammatory Condition ◽  
Duodenojejunal Bypass

Lay Summary Crohn’s disease is an inflammatory condition of the intestine with an unknown cause and can result in inflammation, narrowing (stricuture) or penetrating disease (fistula that inflammation goes through the wall of the bowel and into another structure). Unfortunately Crohn’s disease can affect anywhere in the gastrointestinal tract, all the way from the mouth to the anus. Sometimes Crohn’s disease can affect the duodenum, the portion of the small intestine just after the stomach. When Crohn’s disease is in the duodenum and causes narrowing, it is difficult to treat medically, and often needs a surgical intervention. When the narrowing is short, less than a few centimeters, the surgeon can do a strictureplasty which means opening the intestine across the stricture and sewing it back shut in the horitzontal direction to make the opening larger. When the narrowing, or stricture, is longer, then the surgeon may have to connect the stomach to another part of the small intestine (gastrojejunostomy) to avoid or bypass the duodenum, or may have to perform a large reconstructive operation to remove that portion of the small intestine. the challenge is that those operations have significant potential complications associated with them. Therefore, sometimes a bypass operation can be done instead to connect the duodenum to the next part of the small intestine, the jejunum. In this manuscript the authors describe this surgical technique is a 38 year old male with Crohn’s disease who was referred with multiple areas of narrowing in his intestine.

Endoscopic fluorescence imaging for early assessment of anastomotic recurrence of Crohn's disease

1999 ◽  
Author(s):  
Serge R. Mordon ◽  
Vincent Maunoury ◽  
K. Geboes ◽  
Olivier Klein ◽  
P. Desreumaux ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Fluorescence Imaging ◽  
Early Assessment ◽  
Anastomotic Recurrence
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