Use of the Kono-S anastomosis in pediatric Crohn’s disease: a single-institution experience

Obi, Megan; DeRoss, Anthony L.; Lipman, Jeremy

doi:10.1007/s00383-023-05572-1

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…Biologics were administered in 403 patients. Overall, three studies [17,18,27] confirmed previous surgical expertise (Supplementary Materials Tables S1-S5). Similarly, data regarding the number of operating surgeons were scarce.…”

Section: Resultssupporting

confidence: 62%

“…Full text assessment identified four studies with no comparison group and four irrelevant articles. Consequently, eight studies [5,6,15,[17][18][19]27] were included in the qualitative and quantitative synthesis. Overall, 913 patients were included in this meta-analysis (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…There was only one RCT [5]; the remaining trials applied either a prospective or a retrospective methodology. Most studies were performed in a single center [5,6,[16][17][18]27], and the publication period spanned from 2011 to 2023. Data regarding gender, age, and BMI allocation are also provided in Table 1.…”

Section: Resultsmentioning

confidence: 99%

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The Reduction of Anastomosis-Related Morbidity Using the Kono-S Anastomosis in Patients with Crohn’s Disease: A Meta-Analysis

Baloyiannis,

Perivoliotis,

Sarakatsianou

et al. 2024

JCM

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(1) Background: we conducted this study to evaluate the effect of Kono-S anastomosis on postoperative morbidity after bowel resection for Crohn’s disease. (2) Methods: This study adhered to the PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. The primary endpoint was the overall complications rate. Secondary outcomes included specific complications analyses, disease recurrence and efficiency endpoints. A systematic literature screening was performed in major electronic scholar databases (Medline, Scopus, Web of Science), from inception to 17 January 2024. Both Random (RE) and Fixed Effects (FE) models were estimated; the reported analysis was based on the Cochran Q test results. (3) Results: Overall, eight studies and 913 patients were included in this meta-analysis. Pooled analyses confirmed that Kono-S was not superior in terms of overall morbidity (OR: 0.69 [0.42, 1.15], p = 0.16). Kono-S displayed a reduced risk for anastomotic leakage (OR: 0.34 [0.16, 0.71], p = 0.004) and reoperation (OR: 0.12 [0.05, 0.27], p < 0.001), and a shortened length of hospital stay (WMD: −0.54 [−0.73, −0.34], p < 0.001). On the contrary, Kono-S results in higher rates of postoperative SSIs (OR: 1.85 [1.02, 3.35], p = 0.04). (4) Conclusions: This study confirms a comparable morbidity, but a lower risk of anastomotic leak and reoperation of Kono-S over conventional anastomoses. Further high quality studies are required to validate these findings.

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Section: Resultssupporting

confidence: 62%