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

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

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

Surgical Recurrence at Anastomotic Site After Bowel Resection in Crohn’s Disease: Comparison of Kono-S and End-to-end Anastomosis

2018 ◽  
Vol 23 (2) ◽  
pp. 312-319 ◽  
Author(s):  
Norimitsu Shimada ◽  
Hiroki Ohge ◽  
Toru Kono ◽  
Ayumu Sugitani ◽  
Raita Yano ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Bowel Resection ◽  
Anastomotic Site ◽  
Surgical Recurrence ◽  
End To End

Novel Antimesenteric Functional End-to-End Handsewn (Kono-S) Anastomoses for Crohn's Disease: A Report of Surgical Procedure and Short-Term Outcomes

2015 ◽  
Vol 32 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Hidetoshi Katsuno ◽  
Koutarou Maeda ◽  
Tsunekazu Hanai ◽  
Koji Masumori ◽  
Yoshikazu Koide ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Linear Stapler ◽  
Long Term Outcomes ◽  
First Case ◽  
Surgical Recurrence ◽  
Bowel Continuity ◽  
End To End

Introduction: Anastomotic surgical recurrence after bowel resection is a major problem in patients with Crohn's disease. The aim of this prospective observational study was to evaluate the efficacy of a novel technique for restoring bowel continuity after resection involving either the small or the large intestine. Methods: The first case was instructed by Dr. Kono at Fujita Health University. The involved bowel segment was divided transversely with a linear stapler. The edges of two stapled lines are then connected to create a supporting column, which prevented surgical recurrence from anastomotic distortion due to mesenteric longitudinal ulcers. Thereafter, an antimesenteric longitudinal enterotomy was performed on each side to create a large-sized handsewn end-to-end anastomosis. Results: Thirty consecutive patients underwent Kono-S anastomoses from December 2009 to August 2013. Neither anastomotic leakage nor surgical recurrence was observed during a median follow-up period of 35 months. Endoscopic surveillance was performed in 18 cases (69.2%) undergoing ileo-colonic or ileo-rectal anastomosis with an average Rutgeert's score of 0.78 (0-3) at a mean of 14.5 months postoperatively. Conclusion: The Kono-S anastomosis for Crohn's disease has been a safe and feasible technique. Long-term outcomes are required to confirm its advantage in preventing surgical recurrence at the anastomosis.

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