Crohn’s disease and postoperative recurrence. The role of anastomotic configurations and the kono-s anastomosis.

Main Article Content

Rosario Fornaro
Giuseppe Caristo
Emanuela Stratta
Alba Oliva
Davide Giovinazzo
Matteo Mascherini
Marco Frascio

Abstract

BACKGROUND: The observation that in more than 90% of Crohn’s disease patients the postoperative recurrences are located in the pre-anastomotic tract leads us to suppose that the anastomosis would play a role in the appearance of recurrences.


AIM AND METHODS: To focus the role of different anastomotic configurations in the incidence of recurrences, the Authors have conducted a review of the literature of the last two decades and have revised critically their experience.


RESULTS: The rate of recurrences seem to be lower in patients in whom the anastomotic configuration is such as to present a wide lumen; it seems that they are lower after stapled side-to-side anastomosis. The Kono-S anastomosis, recently introduced technique, seems to offer better results.


CONCLUSIONS: The role of the various types of anastomosis remains uncertain. Further large-scale controlled trials with long term follow-up are needed.

Article Details

How to Cite
Rosario Fornaro, et al. “Crohn’s Disease and Postoperative Recurrence. The Role of Anastomotic Configurations and the Kono-S Anastomosis”. Annali Italiani Di Chirurgia, vol. 90, no. 2, Feb. 2019, pp. 111-20, https://annaliitalianidichirurgia.it/index.php/aic/article/view/962.
Section
Article