The Kono-S Anastomosis Shows Low Complication Rates and Promising Long-Term Results in Crohn’s Disease Patients

In a multicenter study, 262 consecutive patients with Crohn’s disease underwent Kono-S anastomosis. The study reported very low rates of anastomotic failure (1.5%), reoperation (0.7%), and postoperative surgical site infection (6.1%). After a median follow-up of 49.4 months, surgical recurrence was found in 7.6% of patients. Perianal disease, urgent/emergent surgery, and postoperative use of steroids were associated with an increased risk of overall recurrence. The findings confirm the safety and efficacy of the Kono-S anastomosis as a technique for long-term outcomes in Crohn’s disease.