Abstract

Background: Medical management remains the initial management strategy in the majority of Crohn’s disease. With improved pharmacological agents, the requirement for emergent operative intervention is declining. However, there are cases that are refractory to medical therapy and necessitate surgical management. Insufficient perfusion is a well-recognized concern in bowel anastomotic healing. The use of intra-operative near infrared perfusion angiography provides the surgeon with real time information regarding both arterial inflow and venous outflow of the anastomotic site. It aids in deciding level of anastomosis, and vulnerability of just created anastomosis.

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