Versus doing intramesenteric dissection can later in life result in fistulazation, anastomotic stricturing that patients are asked to self dilate ( IMO daily agony ) and patients get labeled as Crohn’s disease where symptoms times can be similar. Leaving the meso not only smoulders active infection but also triggers inflammatory response where pouch and meso starts mimicking “Crohn’s like “ features and behaviour. @NorthwellHealth