Anastomotic leakage after colonic resection.
Summary of "Anastomotic leakage after colonic resection."
The aim of this study is to present the diagnosis and management of anastomotic leakage after colon resection. Early diagnosis and urgent therapeutic intervention are required in order to avert life-threatening conditions that may be caused by anastomotic leakage. Minor leaks can be managed conservatively with successful outcomes. Major leaks should be managed operatively. In conclusion, leakage of colonic anastomosis remains the most serious complication after colon resection.
Affiliation
Department of Surgery, Klinikum Vivantes Spandau, Berlin, Germany, ik@hol.gr.
Journal Details
This article was published in the following journal.
Name: Techniques in coloproctology
ISSN: 1128-045X
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20700619
- DOI: http://dx.doi.org/10.1007/s10151-010-0621-0
Medical and Biotech [MESH] Definitions
Anastomotic Leak
Breakdown of the connection and subsequent leakage of digestive system fluid from a SURGICAL ANASTOMOSIS of digestive system structures. Most common leakages are from breakdown of the sutured lines in gastrointestinal or bowel anastomosis.
Diverticulitis, Colonic
Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.
Colonic Diseases, Functional
Chronic or recurrent colonic disorders without an identifiable structural or biochemical explanation. The widely recognized IRRITABLE BOWEL SYNDROME falls into this category.
Diverticulosis, Colonic
A pathological condition characterized by the presence of a number of COLONIC DIVERTICULA in the COLON. Its pathogenesis is multifactorial, including colon aging, motor dysfunction, increases in intraluminal pressure, and lack of dietary fibers.
Colonic Pseudo-obstruction
Functional obstruction of the COLON leading to MEGACOLON in the absence of obvious COLONIC DISEASES or mechanical obstruction. When this condition is acquired, acute, and coexisting with another medical condition (trauma, surgery, serious injuries or illness, or medication), it is called Ogilvie's syndrome.
PubMed Articles
Anastomotic leakage following low anterior resection for rectal cancer.
AIM: Aim of this study is to present the incidence of anastomotic leakage after anterior resection for rectal cancer and to demonstrate the therapeutic approach for the treatment of this complication....
Clinical Value of Preventative Ileostomy Following Ultra-Low Anterior Rectal Resection.
The objective was to evaluate the clinical value of preventative ileostomy following ultralow anterior rectal resection in decreasing the incidence of anastomotic leakage. For this purpose, 62 cases t...
Oncologic impact of anastomotic leakage after low anterior resection for rectal cancer.
Anastomotic leakage is a severe complication after rectal cancer surgery. This review article is focused in the incidence, the risk factors, the management and the oncologic impact of anastomotic leak...
Options and outcome for reconstruction after extended left hemicolectomy.
BACKGROUND: A tension-free anastomosis is required to minimize anastomotic leakage after an extended left colectomy when the residual transverse colon is too short to spontaneously reach the pelvis. T...
AIM: The study was designed to determine the suitability of a single-layer continuous anastomosis for ileo-colonic anastomoses and to determine perioperative risk factors for morbidity and mortality i...
Clinical Trials
Mediastinal Microdialysis in Patients With Oesophageal or Cardia Cancer Treated by Resection
Postoperative anastomotic leakage is a serious complication in patients with oesophageal or cardia cancer. Early diagnosis and treatment are mandatory. The primary aim of the present study...
Peritoneal Microdialysis in Patients Undergoing Low Anterior Resection for Rectum Cancer
Anastomotic leakage is a serious complication after LAR with high morbidity and mortality rates. Early diagnosis and treatment is mandatory. The primary aim of the present study is to inve...
Oral Anti-Infective Agent for Esophageal Anastomotic Leakage
Anastomotic leakage is still to be a major cause of considerable morbidity and mortality after esophagectomy and gastric pull up for esophageal carcinoma. Risk factor analyses of anastomot...
Detection of Anastomotic Leakage After Esophageal Surgery
Anastomotic leakage is a major complication in esophageal surgery. Although contrast swallow is the current standard to exclude anastomotic leakage postoperatively, endoscopy may be superi...
NITI CAR27 (ColonRing) Compression Anastomosis in Colorectal Surgery
After resection of diseased segments of the large intestine, the continuity of the intestine has to be restored. This can be done by suturing or with so called stapling devices. In additio...