Surgical management of Crohn’s disease continues to evolve. One particularly active topic in the field is the surgical technique for ileocolic resection. The Kono-S anastomosis was pioneered in 2003 as a way of reducing the risk of disease recurrence at the ileocolic anastomosis. Despite reports of favorable outcomes compared to other methods of anastomosis, uptake of the technique has not been particularly widespread. Experts in the field will discuss whether all ileocolic anastomoses for Crohn’s disease should use the Kono-S technique. Another long-standing active debate in the field is whether ileal pouch-anal anastomosis should be performed in patients with Crohn’s disease. Due to the concern for the higher risk for pouch failure among patients with Crohn’s disease, many colorectal surgeons do not offer this as an option. Experts will discuss the merits and dangers of IPAA in Crohn’s disease, and when it might be appropriate.
Learning Objectives:
Upon completion of this activity, participants should be able to:
Explain the rationale behind the Kono-S Anastomosis in Ileocolic Resection for Crohn’s disease.
Recognize when to use the Kono-S anastomosis in ileocolic resection for Crohn’s disease.
Recognize when the potential benefits outweigh the risks of IPAA in Crohn’s disease.
