■克罗恩病(CD)是一种影响胃肠道的慢性炎症性肠病。治疗涉及免疫抑制,对于对药物治疗无反应的患者,有时需要手术干预。然而,复发是手术后常见的并发症。
本病例报告集中于一例CD患者,该患者接受了Kono-S吻合术的回盲肠切除,一种旨在降低复发率的手术技术。
■一名43岁男性,有13年的已知CD病史,表现为反复出现的中度至重度下腹痛,伴有打气,恶心,主观发烧,出汗。患者服用英夫利昔单抗和硫唑嘌呤。研究证实回肠loop的不规则跳跃壁增厚,伴有明显的管腔狭窄以及回肠的狭窄性纤维狭窄,和轻度双侧骶髂关节炎。患者接受了回盲肠切除术和Kono-S吻合术的手术治疗。该病例报告强调了Kono-S吻合技术在治疗复发性CD患者中的优缺点。
■Kono-S吻合术显示出相对的安全性,并具有若干潜在的益处。然而,由于外科医生不够熟悉和并发症的可能性,其广泛采用受到限制。然而,将Kono-S作为标准吻合方法为CD患者带来了显着优势。
■本病例报告强调了Kono-S吻合术在减少CD复发方面的潜在益处,并为进一步研究和临床实践提供了有价值的见解。
■SaeedM,AlgahinyAT,ElmitwalliOSMMS,etal.使用Kono-S吻合术成功手术治疗克罗恩患者的文献分析和案例研究。欧亚J肝胃肠病2023;13(1):36-39。
UNASSIGNED: Crohn\'s disease (CD) is a chronic inflammatory bowel disease affecting the gastrointestinal tract. Treatment involves immunosuppression, and surgical intervention is sometimes necessary for patients who do not respond to medical treatment. However, recurrence of the disease is a common complication after surgery.
UNASSIGNED: This
case report focuses on a patient with CD who underwent ileocecal resection with Kono-S anastomosis, a surgical technique aimed at reducing recurrence rates.
UNASSIGNED: A 43-year-old male with a known history of CD for 13 years presented with recurring moderate-to-severe lower abdominal pain associated with belching, nausea, subjective fever, and sweats. The patient was on infliximab and azathioprine. Investigations confirmed irregular skip mural thickening of ileal loops with significant luminal narrowing along with stenotic fibrostrictures of the ileum, and mild bilateral sacroiliitis. The patient was treated surgically with an ileocecal resection and a Kono-S anastomosis operation. This
case report highlights the advantages and disadvantages of the Kono-S anastomosis technique in treating patients with recurrent CD.
UNASSIGNED: Kono-S anastomosis demonstrates a relative safety profile and carries several potential benefits. However, its wider adoption is limited due to insufficient familiarity among surgeons and the possibility of complications. Nevertheless, embracing Kono-S as the standard anastomosis method holds the promise of significant advantages for individuals with CD.
UNASSIGNED: This
case report highlights the potential benefits of Kono-S anastomosis in reducing CD recurrence and provides valuable insights for further research and clinical practice.
UNASSIGNED: Saeed M, Algahiny AT, Elmitwalli OSMMS, et al. An Analysis of the Literature and a
Case Study on the Successful Surgical Treatment of a Crohn\'s Patient Using a Kono-S Anastomosis. Euroasian J Hepato-Gastroenterol 2023;13(1):36-39.