Journal Review in Colorectal Surgery: Methods for Ileocolic Anastomosis in Crohn's Disease

Behind The Knife: The Surgery Podcast

Education, Science, Health & Fitness, Medicine

4.8 • 1.4K Ratings

🗓️ 21 May 2026

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

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Summary

Ileocolic resection is one of the most common operations performed for Crohn's disease, yet the optimal approach to anastomotic construction and mesenteric management remains an active area of debate. From the configuration of the anastomosis to the extent of mesenteric excision, emerging evidence suggests that surgical technique may play a meaningful role in disease outcomes. Join Drs. Jared Hendren, Elissa Dabaghi, Joseph Trunzo, Ajaratu Keshinro, and David Rosen as they discuss methods for ileocolic anastomosis in Crohn's disease while reviewing the latest literature.

Hosts:
- Jared Hendren, MD
Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio

- Elissa Dabaghi, MD
Institution: Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio

- Joseph Trunzo, MD
Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio
X/Twitter @joseph_trunzo

- Ajaratu Keshinro, MD
Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio
X/Twitter- @AJKesh

- David Rosen, MD
Institution: Department of Colon and Rectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio
X/Twitter- @davidrrosenmd

Learning Objectives: By the end of this episode, listeners will be able to:

1. Evaluate the evidence for the Kono-S anastomosis in reducing postoperative recurrence after ileocolic resection for Crohn's disease
2. Describe the role of the mesentery in driving recurrence and discuss how mesenteric-targeting surgical approaches may influence outcomes
3. Interpret the results of recent randomized controlled trials on extended mesenteric excision and apply them to surgical decision-making in ileocolic resection for Crohn's disease

Transcript

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0:00.0	Behind the Night, The Surgery Podcast, Relevant and Engaging Content designed to Help You Dominate the day.
0:36.9	Hi, are you BTK listeners. It's Scott here, and I want to talk a little bit about our BTK
0:37.7	colorectal surgery oral board audio review. With upwards of 50 plus high-yield scenarios designed
0:44.7	for colorectal surgeons by colorectal surgeons, these scenarios are five to seven minutes long.
0:50.9	They've got a variety of tactics in styles. We also have a high-yield commentary to each
0:55.8	scenario that includes tips and tricks that will help you dominate the most challenging of
1:00.4	scenarios. In addition to practical, easy ways to think through, easy to understand teaching style
1:05.7	that covers most confusing, most interesting, and the most basic of topics that we all face as
1:11.7	colorectal surgeons. So we are highly confident that you will find this unique dual format
1:18.2	approach, a highly effective way to prepare for your test. And now listen, best of all,
1:24.1	every course subscription now comes with access to our revolutionary oral board simulator.
1:29.8	You can practice out loud your decision-making under pressure to identify and fix your knowledge
1:34.9	gaps before you face the real examiners. Check it out at behind-the-knife.org.
1:41.3	Hi, everyone, and welcome to Behind the Knife. I'm Melissa DeBaghi, a general surgery resident at Cleveland Clinic.
1:47.1	And I'm Jared Hendren, another general surgery resident at Cleveland Clinic, and we're joined by members of our colorectal surgery team.
1:54.0	Hi there, I'm Dave Rosen, the vice chair of the Department of Colon Rectal Surgery and the section head of the division of colorectal surgery at Cleveland Clinic clinic Fairview hospital and i am a j kishina one of the assistant to professor in the department of
2:06.2	colorectal surgery to phambe and i'm joseph tronzo i'm the program director for the general
2:11.3	surgery residency program and also a colorectal surgery will we'll keep you as part of our team
2:17.3	and i'm a colorectos surgeon.
2:19.2	Yeah, congrats to Dr. Trunzo.
2:20.8	He was just named the General Surgery Program Director for us.
2:24.5	We're very excited.
	...

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