Endoscopic treatment of postsurgical colorectal anastomotic leak (with videos)
| Autor: | F. Carrillo, Pedro González Carro, Sami Aoufi Rabih, Esther Bernardos Martín, Francisco Pérez Roldán, María Luisa Legaz Huidobro, Rosanna Villanueva Hernández, Emilia Tebar Romero, María Concepción Villafáñez García |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Leak Colorectal cancer Colon Fistula Anastomotic Leak Dehiscence Anastomosis Polydioxanone chemistry.chemical_compound Suture (anatomy) Medicine Humans Radiology Nuclear Medicine and imaging Fibrin glue Aged Retrospective Studies Aged 80 and over business.industry Rectal Neoplasms Anastomosis Surgical Gastroenterology Rectum Colonoscopy Middle Aged medicine.disease Surgery Treatment Outcome chemistry Stents business |
| Zdroj: | Gastrointestinal endoscopy. 77(6) |
| ISSN: | 1097-6779 |
| Popis: | d p g l The treatment of rectal cancer has evolved in recent years, and several neoadjuvant chemotherapy and radiotherapy regimens have been combined with less-expensive surgical approaches. However, these techniques also involve postsurgical adverse events, namely, colorectal stricture, rectocutaneous fistula, and suture dehiscence.1,2 The frequency of hese adverse events varies among studies. Postsurgical rectal fistula and dehiscence are not unommon findings in low anterior resection performed to reat rectal cancer.1,2 The initial approach is usually conservative.2 The lesion can be cleaned and fibrin glue can be injected endoscopically.3,4 Hemoclips, over-the-scope lips (Ovesco), and endoloops can also be used to join the dges of the fistula or dehiscence. Finally, Polyflex-type Boston Scientific, Natick, Mass) plastic stents5,6 or coated metal stents are an additional option.7 Sponges have also proved successful in the treatment of rectal dehiscence.8-10 Biodegradable expandable polydioxanone stents (coated and uncoated) are a new therapeutic option11-14 that enables the repair of a fistula or dehiscence of the anastomosis, thus, in theory, facilitating scar formation.7 We eport our experience with biodegradable stents comined with other endoscopic approaches to repair posturgical fistula and dehiscence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect