ArticleLangenbeck's archives of surgery2021
Experiences with the Kono-S anastomosis in Crohn's disease of the terminal ileum-a cohort study.
Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Safety and effectivity of Kono-S anastomosis in Crohn's patients: a systematic review and Meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Kono-S anastomosis for recurrent ileocolic anastomotic stricture in Crohn's disease: a case report.International journal of surgery case reports · 2026Article
- A case report of coexistence of acute appendicitis and Meckel's diverticulitis causing generalized acute peritonitis.International journal of surgery case reports · 2026Article
- Insufficiency of ileocolic anastomosis in Crohn's disease patients - prevention and treatment.World journal of gastrointestinal surgery · 2025Article
- Safety and feasibility of the KONO-S anastomosis technique with biodegradable stent in Crohn's disease: a pilot study.International journal of colorectal disease · 2025Article
- Negative-Pressure Wound Therapy: A Novel Approach for Terminal Ileum Anastomosis Success.The American journal of case reports · 2025Article
- Role of Mesenteric Defect Closure in Preventing Internal Hernias After Ileocecectomy With Kono-S Anastomosis.Cureus · 2025Article
- Risk Factors of Reoperation in Patients with Intestinal Behçet's Disease Treated by Initial Bowel Resection.Journal of clinical medicine · 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
- The Sasaki-W anastomosis for recurrent Crohn's disease stenosis after the Kono-S anastomosis.Surgical case reports · 2023Article
- Perioperative optimization of Crohn's disease.Annals of gastroenterological surgery · 2023Review
- 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 Management of Small Bowel Crohn's Disease.Frontiers in surgery · 2022Review
- Surgical Strategies to Reduce Postoperative Recurrence of Crohn's Disease After Ileocolic Resection.Frontiers in surgery · 2021Review
- An Analysis of the Literature and a Case Study on the Successful Surgical Treatment of a Crohn's Patient Using a Kono-S Anastomosis.Euroasian journal of hepato-gastroenterologyArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe 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
methodsThis 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.
resultsThirty 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.
conclusionThe 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.
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