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Compares two surgical reconnection methods in people with Crohn's disease

Compares two bowel reconnection surgeries in adults with Crohn's disease needing resection.

Plain-language title generated from the registry record
Registry title: Study of the Kono-S Anastomosis Versus the Side-to-side Functional End Anastomosis

Key facts

Where
Barcelona, SpainSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 90 years old?

Source: NCT03256240, who can take part

Where in Spain

  • Hospital Universitario Vall d'HebronBarcelona, SpainNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Weill Medical College of Cornell University
Trial code
NCT03256240
Record updated
14 May 2026
Original description
This study proposes a randomized prospective study comparing the Kono-S anastomosis to the standard side-to-side anastomosis.This will be a multi-center randomized prospective trial. Patients with Crohn's ileitis or Crohn's ileocolitis requiring resection will be randomized to undergo either the Kono-S anastomosis or the side-to-side functional end anastomosis.Read full original descriptionShow less

Prospective Randomized Study of the Kono-S Anastomosis Versus the Side-to-side Functional End Anastomosis in the Prevention of Post-operative Recurrence of Crohn's Disease

This study proposes a randomized prospective study comparing the Kono-S anastomosis to the standard side-to-side anastomosis.This will be a multi-center randomized prospective trial. Patients with Crohn's ileitis or Crohn's ileocolitis requiring resection will be randomized to undergo either the Kono-S anastomosis or the side-to-side functional end anastomosis.

Inclusion: Patients with Crohn's ileitis or ileocolitis requiring initial surgical resection; Age of 18 years and older, male and female; All Phenotypes of Crohn's diisease will be included: nonpenetrating (B1), stricturing (B2), and penetrating (fistulating) (B3), according to the Vienna classification; The patients can be on any medications coming into surgery, including prior anti- tumor necrosis factor(TNF) therapy.

Exclusion: Patients that need change of surgical procedure as per the surgeon at the time of the intraoperative abdominal evaluation; Patients with more than one non-contiguous site of active disease, thus requiring multiple resections or additional bowel sparing procedures at the time of surgery; Patients with Crohn's disease extending to the cecum and ascending colon; Patients under 18 years of age; Patients with recurrent Crohn's; Pregnant patients; Patients who will need preventive postoperative medical treatment.

ClinicalTrials.gov NCT03256240