Behind The Knife: The Surgery Podcast

Journal Review in Colorectal Surgery: Kono-S Anastomosis and Stem Cells in Crohn’s Disease

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Sinopsis

You are faced with a young patient with ileal Crohn’s disease. He requires an ileocolic resection. Which type of anastomosis do you perform? You also see another patient with complex perianal fistulas and the patient asks about the safety and efficacy of stem cells for fistula closure. What do you tell the patient? Join Dr. Carole Richard, Dr. François Dagbert and Dr. Maher Al Khaldi in their conversation about the Kono-S anastomosis after ileocolic resections and stem cell therapy for perianal complex fistulas for Crohn’s disease.  Learning objectives  -       To understand the rationale for the Kono-S anastomosis and the way it is fashioned.  -       To explain the possible advantages of the Kono-S anastomosis following ileocolic resection. -       To explain the possible advantages of stem cell therapy for complex perianal fistulas. -       To understand which patient population might be eligible for future stem cell therapy for complex perianal fistulas.  References In order throughout the episode: A