Kono and collegues have described a new anastomotic technique to restore bowel contintuity
after ileocecal resection for Crohn's disease (CD).
This tecnique implies a hand-sewn ileocolic anastomosis, that involves exclusively the
antimesenteric side of the bowel and that functionally acts as an end-to-end anastomosis.
In a retrospective study, the authors have shown that this anastomotic tecnique, when
compared to stapled side-to-side anastomosis, significantly reduces the severity of
endoscopic recurrence at 1 year after surgery and the rate of reoperation for anastomotic
recurrence at 5 years after surgery.
Aim of this trial is to compare the outcomes of the Kono anastomosis with the ones achieved
by the stapled side-to-side anastomosis, within a prospective randomized study.