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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

186
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
186
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

334
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
334
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

518
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
518
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

385
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
385
Anastomoses01:19

Anastomoses

988
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They...
988
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

276
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
276

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Related Experiment Video

Updated: Aug 14, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
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Anastomotic Considerations in Crohn's Disease.

Brian R Kann1

  • 1Department of Colon & Rectal Surgery, Ochsner Health, New Orleans, Louisiana.

Clinics in Colon and Rectal Surgery
|January 9, 2023
PubMed
Summary

Performing intestinal anastomosis for Crohn's disease requires careful consideration of patient factors and surgical techniques. Strategies like the Kono-S anastomosis and temporary ostomy can mitigate risks and improve outcomes.

Keywords:
Crohn's diseaseKono-Sanastomosis

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Inflammatory Bowel Disease

Background:

  • Crohn's disease surgery necessitates careful management of intestinal anastomosis.
  • Preoperative factors like malnutrition and immunosuppression increase complication risks.
  • Anatomical configuration and surgical techniques impact functional outcomes and recurrence.

Purpose of the Study:

  • To review factors influencing intestinal anastomosis in Crohn's disease surgery.
  • To discuss the role of specific techniques and diversion strategies.
  • To explore options for colectomy and proctocolectomy.

Main Methods:

  • Review of current surgical considerations for intestinal anastomosis in Crohn's disease.
  • Discussion of risk factors and their impact on surgical decisions.
  • Analysis of techniques like Kono-S anastomosis and diversion strategies.

Main Results:

  • Preoperative risk factors significantly influence anastomotic complication rates.
  • Ileocolic resection may benefit from techniques like the Kono-S anastomosis.
  • Ostomy or temporary diversion can be appropriate when anastomotic complications risk is high.

Conclusions:

  • Intestinal anastomosis in Crohn's disease requires individualized surgical planning.
  • Technique selection and risk mitigation strategies are crucial for optimal patient outcomes.
  • Restorative procedures may be considered for Crohn's colitis in select cases.