Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review.

Autor:	Aourarh B; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Souadka A; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Majbar MA; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Benkabbou A; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Chakkor A; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Bakkar M; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Mohsine R; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco., Amrani L; Surgical Oncology Department, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2023 Nov 09; Vol. 11, pp. 2050313X231205716. Date of Electronic Publication: 2023 Nov 09 (Print Publication: 2023).
DOI:	10.1177/2050313X231205716
Abstrakt:	Endoscopic management has become an alternate treatment to a revision surgery for colorectal fistulas. Eight patients who were treated by endoscopy for postoperative anastomotic leakage to colorectal cancer were included. A univariate analysis was carried out to determine the predictive factors of success. All our patients were treated using metallic clips. The primary efficiency of this technique was 50%. In a univariate analysis, the size of the fistula and its distance from the anal margin had an influence on the efficiency of the endoscopic treatment, which was not the case for either the surgical technique or the use of neoadjuvant radiotherapy. This endoscopic treatment is effective and represents a more secure alternative than revision surgery. In our study, the use of metallic clips showed a 50% success rate, going up to 100% for the group of patients with a fistula ostium of a size ⩽1 cm, proving the necessity of using this technique. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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