Limits...
Minimally invasive management of anastomotic leaks in colorectal surgery

View Article: PubMed Central - PubMed

ABSTRACT

Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient’s quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges. The review aimed to provide an overview of the current knowledge on the minimally invasive management of anastomotic leaks.

No MeSH data available.


Related in: MedlinePlus

Self-expanding metal stent for anastomosis leakage. A: Endoscopic image after deployment of the stent; B: Stent with clip (a) at the proximal end.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC5037335&req=5

Figure 1: Self-expanding metal stent for anastomosis leakage. A: Endoscopic image after deployment of the stent; B: Stent with clip (a) at the proximal end.

Mentions: The use of colonic stents has significantly evolved over the last decades as an alternative method of converting emergency surgery for obstructing colorectal cancers to safer definitive elective surgery or as palliative treatment for inoperable malignant colorectal strictures, with high success rates[8]. Moreover, the application of colonic stents has gained increasing attention in recent years for postoperative complications following colorectal surgery, including ALs, fistulas and perforations (Figure 1). In particular, smaller ALs that are not associated with severe sepsis might benefit from colonic stenting after laparoscopic peritoneal lavage and drainage, and fashioning of stoma[9]. By contrast, some authors considered that endoscopic stenting could be utilized in patients with or without a stoma, in combination with percutaneous drainage of infected intraabdominal collections[10].


Minimally invasive management of anastomotic leaks in colorectal surgery
Self-expanding metal stent for anastomosis leakage. A: Endoscopic image after deployment of the stent; B: Stent with clip (a) at the proximal end.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5037335&req=5

Figure 1: Self-expanding metal stent for anastomosis leakage. A: Endoscopic image after deployment of the stent; B: Stent with clip (a) at the proximal end.
Mentions: The use of colonic stents has significantly evolved over the last decades as an alternative method of converting emergency surgery for obstructing colorectal cancers to safer definitive elective surgery or as palliative treatment for inoperable malignant colorectal strictures, with high success rates[8]. Moreover, the application of colonic stents has gained increasing attention in recent years for postoperative complications following colorectal surgery, including ALs, fistulas and perforations (Figure 1). In particular, smaller ALs that are not associated with severe sepsis might benefit from colonic stenting after laparoscopic peritoneal lavage and drainage, and fashioning of stoma[9]. By contrast, some authors considered that endoscopic stenting could be utilized in patients with or without a stoma, in combination with percutaneous drainage of infected intraabdominal collections[10].

View Article: PubMed Central - PubMed

ABSTRACT

Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient’s quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges. The review aimed to provide an overview of the current knowledge on the minimally invasive management of anastomotic leaks.

No MeSH data available.


Related in: MedlinePlus