ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2012
Antimesenteric functional end-to-end handsewn (Kono-S) anastomosis.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Kono-S anastomosis for Crohn's disease: a systemic review, meta-analysis, and meta-regression.Surgery today · 2021Pooled it
- Kono-S anastomosis after intestinal resection for Crohn's disease.Updates in surgery · 2020Pooled it
- Totally stapled Kono-S anastomosis for Crohn's disease.Techniques in coloproctology · 2022Trial
- Bowel Resection Margins in Crohn's Disease: Do They Matter?Clinics in colon and rectal surgery · 2025Review
- Anastomosis after Bowel Resection for Crohn's Disease: State of the Art Review.Clinics in colon and rectal surgery · 2025Review
- Role of Mesenteric Defect Closure in Preventing Internal Hernias After Ileocecectomy With Kono-S Anastomosis.Cureus · 2025Article
- Positive resection margins in Crohn's disease are a relevant risk factor for postoperative disease recurrence.Scientific reports · 2024Article
- Impact of different anastomosis methods on post-recurrence after intestinal resection for Crohn's disease: A meta-analysis.World journal of gastrointestinal surgery · 2024Article
- Stapled End-To-Side Ileocolic Anastomosis in Crohn's Disease: Old Dog, Reliable Tricks? A Retrospective Two-Center Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Kono-S Anastomosis in Crohn's Disease: A Retrospective Study on Postoperative Morbidity and Disease Recurrence in Comparison to the Conventional Side-To-Side Anastomosis.Journal of clinical medicine · 2022Article
- Surgical Techniques and Risk of Postoperative Recurrence in CD: A Game Changer?Inflammatory intestinal diseases · 2022Review
- Experiences with the Kono-S anastomosis in Crohn's disease of the terminal ileum-a cohort study.Langenbeck's archives of surgery · 2021Article
- Surgical Strategies to Reduce Postoperative Recurrence of Crohn's Disease After Ileocolic Resection.Frontiers in surgery · 2021Review
- [Terminal ileitis in Crohn's disease-Is primary surgery the better treatment?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Pathophysiology of Crohn's disease inflammation and recurrence.Biology direct · 2020Review
- Surgical Treatment for Crohn's Disease: A Role of Kono-S Anastomosis in the West.Clinics in colon and rectal surgery · 2020Review
- The Role of Inflammation in Crohn's Disease Recurrence after Surgical Treatment.Journal of immunology research · 2020Review
- Ex vivo model for a new bilateral antimesenteric V-modified side-to-side isoperistaltic anastomosis to prevent recurrence in ileocolic Crohn's disease.Annals of the Royal College of Surgeons of England · 2019Article
- Surgical Recurrence at Anastomotic Site After Bowel Resection in Crohn's Disease: Comparison of Kono-S and End-to-end Anastomosis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Recent trends (2016-2017) in the treatment of inflammatory bowel disease.Annals of gastroenterological surgery · 2018Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAnastomotic recurrence is a frequent event after bowel resection for Crohn's disease. To date, no anastomotic technique has been proven to be superior in reducing surgical recurrence rates in this setting. In this article, we describe our technique in performing a new antimesenteric functional end-to-end handsewn (Kono-S) anastomosis.
methodsThe segment of bowel to be resected is identified and mobilized. The bowel is then divided transversely with a linear stapler-cutter device. The intervening mesentery is divided close to the bowel. The corners of the two stapled lines are sutured together, and the two stapled lines are approximated with interrupted sutures. An antimesenteric longitudinal enterotomy is performed on both sides, starting no more than 1 cm away from the staple line, to allow a transverse lumen of 7-8 cm. The openings are closed transversely in two layers.
resultsFrom May 1, 2010 to July 31, 2011 we performed 46 Kono-S anastomoses. One patient had a contained anastomotic leak successfully treated conservatively. Currently, 18 patients (43 %) have undergone follow-up endoscopic surveillance with an average Rutgeert's score of 0.7 (0-3) at a mean of 6.8 months.
conclusionThe Kono-S anastomosis is a safe anastomotic technique. Long-term studies are needed to confirm its efficacy in preventing surgical recurrence.
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