Accuracy of multidetector CT in detecting anastomotic leaks following stapled left-sided colonic anastomosis

Kaur, Prabhleen; Karandikar, Sharad; Roy-Choudhury, Shuvro

doi:10.1016/j.crad.2013.08.006

Cited by 27 publications

(18 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CT and contrast radiography have their respective limitations and may be more useful in combination. The addition of rectal contrast to CT improves sensitivity and should be considered. The results of radiological examination need to be interpreted in a clinical context, and it is important to emphasize that the available data suggest that these investigations cannot reliably exclude an AL.…”

Section: Postoperative Factorsmentioning

confidence: 99%

Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks

McDermott

Heeney

Kelly

et al. 2015

British Journal of Surgery

674

565

View full text Add to dashboard Cite

show abstract

Section: Postoperative Factorsmentioning

confidence: 99%

Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks

McDermott

Heeney

Kelly

et al. 2015

British Journal of Surgery

674

565

View full text Add to dashboard Cite

show abstract

“…A pelvic abscess close to the anastomosis is also considered as AL [17]. Additionally, peri-anastomotic air and peri-anastomotic fluid collection were included [18].…”

Section: Follow-up Evaluationmentioning

confidence: 99%

Fecal diverting device for the substitution of defunctioning stoma: preliminary clinical study

Kim

Jung

2018

Surg Endosc

View full text Add to dashboard Cite

Background A novel fecal diverting device (FDD) made for the prevention of sepsis resulting from anastomotic leakage (AL) was tested successfully in an animal study. This study was undertaken to evaluate the clinical safety and effectiveness of the FDD. Methods A prospective observation trial was implemented in a tertiary referral university hospital. The study enrolled patients who needed a defunctioning stoma to preserve low-lying rectal anastomosis. The FDD was fixed to the proximal colon 15 cm from the anastomosis and scheduled to divert feces for 3 weeks. The duration could be extended for more than 3 weeks if AL was noted. Postoperative evaluations of AL were performed by obtaining a computed tomography (CT) scan after 1 week and a contrast study after 3 weeks. The outcomes were FDD-related complications, and the capacity of the FDD to preserve the anastomosis. The median follow-up period was 10 (range 5-40) months. Results Thirty-one patients, including 5 benign cases, were evaluated. There was no case of stoma conversion or surgical re-intervention. Evidence of AL was identified in 10 (32%) patients using the CT scan at 1 week after surgery. However, in the contrast study at 3 weeks after surgery, only 5 cases of AL sinus were noted. Conservative treatments including 1-3 weeks prolongation of FDD maintenance were enough to preserve the anastomosis. There were 3 cases of partial colonic wall erosions at the FDD attachment area. All of these patients showed improvement with conservative treatment. The limitations were that the study was performed in a single institute and without a control group. Conclusions The FDD showed a sufficient capacity of fecal diversion and maintenance duration that prevented aggravation of sepsis in the case of AL without significant complications.

show abstract

“…A systematic review and meta-analysis performed with 2483 patients following colorectal surgery showed that serum C-reactive protein concentration measured on day 3-5 after resection is a useful negative predictive test but not a good positive predictor of AL, although included studies did not distinguish between colonic and rectal resection [26] . In patients who are not systemically unwell or unstable, a CT with water-soluble contrast enema may confirm the clinical suspicion of AL, with a sensitivity of 0.91, but the appearance of an intact staple line does not rule out an AL, with high false-negative rates reported in the literature [27] . This may be related to the fact that post-operative CT may be performed before there is radiological evidence of AL [17] .…”

Section: Anastomotic Leakmentioning

confidence: 99%

Complications of laparoscopic rectal cancer surgery

Climent¹,

Martin²

2018

MIS

View full text Add to dashboard Cite

show abstract

Accuracy of multidetector CT in detecting anastomotic leaks following stapled left-sided colonic anastomosis

Cited by 27 publications

References 11 publications

Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks

Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks

Fecal diverting device for the substitution of defunctioning stoma: preliminary clinical study

Complications of laparoscopic rectal cancer surgery

Contact Info

Product

Resources

About