Insuffizienzen nach Eingriffen am unteren Gastrointestinaltrakt View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-11

AUTHORS

S. Willis, M. Stumpf

ABSTRACT

The incidence of anastomotic leakage in colorectal surgery is 1% to 12%. Every deviation from the normal postoperative course must raise suspicion of a leak. Diagnosis is made radiologically by rectal enema or CT. Limited leakages without clinical signs can be treated conservatively by wait-and-see. Larger anastomotic failure with intra-abdominal abscesses or peritonitis requires reanastomosis in combination with a diverting loop ileostomy or colostomy. A Hartmann procedure with open abdominal management may be indicated in severely ill patients with feculent peritonitis. In the pelvis, even large leaks may heal spontaneously when stool passage is diminished by a proximal diverting enterostomy. There is no benefit of primary loop enterostomies concerning the incidence of anastomotic leaks; however, they reduce the number of operative revisions due to anastomotic failure. Therefore they are proposed in risk patients and intraoperatively difficult anastomoses. More... »

PAGES

1071-1078

References to SciGraph publications

  • 1997-06. Endosonographisch gesteuerte percutane paracoccygeale Drainage tiefer pelviner Abscesse nach Rectumresektion in DER CHIRURG
  • 2000-11. Risikofaktoren der Anastomoseninsuffizienz nach sehr tiefer colorectaler und coloanaler Anastomose in DER CHIRURG
  • 2002-04. Anastomoseninsuffizienz im Gastrointestinaltrakt in DER CHIRURG
  • 1992-09. Early postoperative contrast radiology in the assessment of colorectal anastomotic integrity in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
  • 1996-11. Revision bei diffuser Peritonitis: geplant v. on-demand in LANGENBECK'S ARCHIVES OF SURGERY
  • 1999-07. Laparoscopic colorectal anastomosis: risk of postoperative leakage in SURGICAL ENDOSCOPY
  • 2002-02-04. Factors Associated with Clinically Significant Anastomotic Leakage after Large Bowel Resection: Multivariate Analysis of 707 Patients in WORLD JOURNAL OF SURGERY
  • 2003-05-13. Anastomotic leakage following low anterior resection: results of a standardized diagnostic and therapeutic approach in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
  • 2001-04. Comparison of colonic J-pouch reconstruction and straight coloanal anastomosis after intersphincteric rectal resection in LANGENBECK'S ARCHIVES OF SURGERY
  • 1991-11. Anastomotic leaks in colorectal cancer surgery: a risk factor for recurrence? in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
  • 2001-11-08. Collagen distribution and expression of matrix metalloproteinases 1 and 13 in patients with anastomotic leakage after large-bowel surgery in LANGENBECK'S ARCHIVES OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00104-004-0895-8

    DOI

    http://dx.doi.org/10.1007/s00104-004-0895-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1048553417

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15316639


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