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Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence

BACKGROUND: Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis; Sasaki‐W anastomosis), which was developed in our department, is a novel hand‐sewn anastomotic technique for Crohn's disease intended to prevent anastomotic stenosis and preserve the periphera...

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Autores principales: Watanabe, Kazuhiro, Sasaki, Iwao, Kohyama, Atsushi, Suzuki, Hideyuki, Kobayashi, Minoru, Kajiwara, Taiki, Karasawa, Hideaki, Ohnuma, Shinobu, Kamei, Takashi, Unno, Michiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316746/
https://www.ncbi.nlm.nih.gov/pubmed/34337302
http://dx.doi.org/10.1002/ags3.12445
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author Watanabe, Kazuhiro
Sasaki, Iwao
Kohyama, Atsushi
Suzuki, Hideyuki
Kobayashi, Minoru
Kajiwara, Taiki
Karasawa, Hideaki
Ohnuma, Shinobu
Kamei, Takashi
Unno, Michiaki
author_facet Watanabe, Kazuhiro
Sasaki, Iwao
Kohyama, Atsushi
Suzuki, Hideyuki
Kobayashi, Minoru
Kajiwara, Taiki
Karasawa, Hideaki
Ohnuma, Shinobu
Kamei, Takashi
Unno, Michiaki
author_sort Watanabe, Kazuhiro
collection PubMed
description BACKGROUND: Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis; Sasaki‐W anastomosis), which was developed in our department, is a novel hand‐sewn anastomotic technique for Crohn's disease intended to prevent anastomotic stenosis and preserve the peripheral circulation. AIM: The aim of the present study is to present the surgical technique of Sasaki‐W anastomosis and to assess the safety and the early results of the surgical anastomotic recurrence of Sasaki‐W anastomosis. PATIENTS AND METHODS: The present study was a single‐center retrospective cohort study. As an early‐period group, 13 patients with Crohn's disease, who were mainly selected from cases considered to be at high risk of recurrence, underwent 15 Sasaki‐W anastomoses from August 2009 to January 2012. As a late‐period group, 36 patients with Crohn's disease, who were selected regardless of risk factors, underwent 37 Sasaki‐W anastomoses from September 2016 to March 2020. The medical data including patient characteristics, surgical records, postoperative details, and surgical recurrences were assessed. RESULTS: There were no intraoperative complications. With a median follow‐up of 107 mo, surgical recurrence occurred in one patient at 106 mo after surgery in the early‐period group. The cumulative surgical recurrence‐free rate in the early‐period group was 100% at 5 y and 86% at 10 y after surgery. No patients required reoperation in the late‐period group. CONCLUSION: Sasaki‐W anastomosis is safe and feasible. Although long‐term study is needed, this anastomotic technique can be a reasonable operative option for Crohn's disease.
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spelling pubmed-83167462021-07-31 Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence Watanabe, Kazuhiro Sasaki, Iwao Kohyama, Atsushi Suzuki, Hideyuki Kobayashi, Minoru Kajiwara, Taiki Karasawa, Hideaki Ohnuma, Shinobu Kamei, Takashi Unno, Michiaki Ann Gastroenterol Surg Original Articles BACKGROUND: Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis; Sasaki‐W anastomosis), which was developed in our department, is a novel hand‐sewn anastomotic technique for Crohn's disease intended to prevent anastomotic stenosis and preserve the peripheral circulation. AIM: The aim of the present study is to present the surgical technique of Sasaki‐W anastomosis and to assess the safety and the early results of the surgical anastomotic recurrence of Sasaki‐W anastomosis. PATIENTS AND METHODS: The present study was a single‐center retrospective cohort study. As an early‐period group, 13 patients with Crohn's disease, who were mainly selected from cases considered to be at high risk of recurrence, underwent 15 Sasaki‐W anastomoses from August 2009 to January 2012. As a late‐period group, 36 patients with Crohn's disease, who were selected regardless of risk factors, underwent 37 Sasaki‐W anastomoses from September 2016 to March 2020. The medical data including patient characteristics, surgical records, postoperative details, and surgical recurrences were assessed. RESULTS: There were no intraoperative complications. With a median follow‐up of 107 mo, surgical recurrence occurred in one patient at 106 mo after surgery in the early‐period group. The cumulative surgical recurrence‐free rate in the early‐period group was 100% at 5 y and 86% at 10 y after surgery. No patients required reoperation in the late‐period group. CONCLUSION: Sasaki‐W anastomosis is safe and feasible. Although long‐term study is needed, this anastomotic technique can be a reasonable operative option for Crohn's disease. John Wiley and Sons Inc. 2021-02-15 /pmc/articles/PMC8316746/ /pubmed/34337302 http://dx.doi.org/10.1002/ags3.12445 Text en © 2021 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Watanabe, Kazuhiro
Sasaki, Iwao
Kohyama, Atsushi
Suzuki, Hideyuki
Kobayashi, Minoru
Kajiwara, Taiki
Karasawa, Hideaki
Ohnuma, Shinobu
Kamei, Takashi
Unno, Michiaki
Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence
title Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence
title_full Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence
title_fullStr Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence
title_full_unstemmed Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence
title_short Antimesenteric cutback end‐to‐end isoperistaltic anastomosis (Sasaki‐Watanabe anastomosis) for Crohn's disease: Novel surgical technique and early results of surgical anastomotic recurrence
title_sort antimesenteric cutback end‐to‐end isoperistaltic anastomosis (sasaki‐watanabe anastomosis) for crohn's disease: novel surgical technique and early results of surgical anastomotic recurrence
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316746/
https://www.ncbi.nlm.nih.gov/pubmed/34337302
http://dx.doi.org/10.1002/ags3.12445
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