Episode 1: Should Kono-S Be Preferred Anastomotic Technique for Ileocolic Crohn’s Disease?


The Kono-S (antimesenteric functional end-to-end handsewn) anastomosis has been designed to reduce the risk of anastomotic surgical recurrence. Data on short and intermediate term outcomes show improvement over standard anastomotic techniques. However, adoption remains reasonably low due to concerns about long term outcomes and the amount of bowel utilized. Drs. McGee and Strong share data, personal experience, and address pros and cons.

For Kono-S as Preferred Anastomotic Technique – Michael McGee, MD
Against Kono-S as Preferred Anastomotic Technique – Scott Strong, MD

Published: March 2023

IBD Debate Recording

Last updated: March 1, 2023