Crohn's disease and postoperative recurrence. The role of anastomotic configurations and the kono-s anastomosis.
Ann Ital Chir
; 90: 111-120, 2019.
Article
em En
| MEDLINE
| ID: mdl-31182693
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 ANDMETHODS:
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. KEY WORDS Anastomosis, Crohn's disease, Postoperative Recurrences.
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Base de dados:
MEDLINE
Assunto principal:
Doença de Crohn
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article