State-of-the-art surgery for Crohn's disease: Part I-small intestine/ileal disease

Langenbecks Arch Surg. 2022 May;407(3):885-895. doi: 10.1007/s00423-021-02324-4. Epub 2021 Nov 4.

Abstract

The management of Crohn's disease has evolved significantly over the past 20 years. The arrival of biologic therapies has altered not only the management and outcomes but also rates for refractory disease requiring surgery. New surgical techniques have paralleled these medical advances, and this article will provide an overview of these new modalities as well as their outcomes. This is the first of a three-part series and will focus on terminal ileal and ileocolic disease.

Keywords: Anastomotic leak; Ileal Crohn’s disease; Ileocolic Crohn’s disease; Ileostomy; Kono-S anastomosis; Recurrence; Strictureplasty.

MeSH terms

  • Anastomosis, Surgical / methods
  • Crohn Disease* / surgery
  • Humans
  • Ileal Diseases*
  • Ileum / surgery
  • Recurrence