Two-year follow-up results of the use of a fecal diverting device as a substitute for a defunctioning stoma

Kang, Sung Il; Kim, Young Ho; Kim, Jae Hwang

doi:10.1007/s00384-022-04117-7

Cited by 4 publications

(2 citation statements)

References 28 publications

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“…In these two clinical studies, 10% of the patients experienced colonic wall erosions similar to the stage 5-6 histological changes in this study; however, no severe co-morbidities related to COLO-BT fixing site was found in all studies. All patients who exhibited colonic wall erosion at the COLO-BT fixing site were managed conservatively or thru observation only; despite this, none experienced clinical problems during the two-year follow-up (20). Our hypothesis of the mechanism related to this result is as follows:…”

Section: Discussionmentioning

confidence: 99%

Protective effect of intraluminal fecal diverting device against colonic wall erosion induced by wrapping bands: A post-hoc pathological analysis

Kang

Kim

et al. 2022

Turk J Surg

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Objective: Materials wrapping the bowel elicits tissue erosion gradually. We experienced several bowel wall erosions with no serious clinical consequences in our two previous animal experiments aimed at the safety and efficacy of the COLO-BT developed for intra-luminal fecal diversion. We tried to find out why the erosion is safe by investigating histologic changes of the tissue. Material and Methods: Tissue slides at the COLO-BT fixing area from the subjects which had COLO-BT over three weeks acquired from our two previous animal experiments were reviewed. For the classification of the histologic change, microscopic findings were classified for six stages (from minimal change of stage 1 to severe change of stage 6). Results: A total of 26 slides of 45 subjects were reviewed in this study. Five subjects (19.2%) had stage 6 histological change; three of stage 1 (11.5%), four of stage 2 (15.4%), six of stage 3 (23.1%), three of stage 4 (11.5%), and five of stage 5 (19.2%). All subjects which had a stage 6 histologic change survived. The phenomenon from which the back of the band is passed through is replaced by a relatively stable tissue layer due to fibrosis of the necrotic cells in the stage 6 histologic change. Conclusion: We found that thanks to the sealing effect of the newly replaced layer, no leakage of the intestinal content occurs even if perforation by erosion develops according to this histologic tissue evaluation.

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Section: Discussionmentioning

confidence: 99%

Protective effect of intraluminal fecal diverting device against colonic wall erosion induced by wrapping bands: A post-hoc pathological analysis

Kang

Kim

et al. 2022

Turk J Surg

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“…The well-known potential risk factors of AL are patients’ medical conditions, surgical techniques, radiation exposure, and anastomotic organs [ [1] , [2] , [3] , [4] ]. For instance, the overall incidence of AL after ileocolic anastomosis is 0.4–6.5% [ [1] , [2] , [3] , [4] ], whereas the incidence of AL after rectal resection was up to 30% [ 5 ]. Prevention of AL during surgical procedures is important because it is associated with high morbidity and mortality [ [1] , [2] , [3] , [4] , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Double-layer adhesives for preventing anastomotic leakage and reducing post-surgical adhesion

Kang,

Shin,

Hyun

et al. 2023

Materials Today Bio

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Cost associated with diverting ostomy after rectal cancer surgery: a transnational analysis

Geisler,

Cao,

Ryschon

et al. 2023

Surg Endosc

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Two-year follow-up results of the use of a fecal diverting device as a substitute for a defunctioning stoma

Cited by 4 publications

References 28 publications

Protective effect of intraluminal fecal diverting device against colonic wall erosion induced by wrapping bands: A post-hoc pathological analysis

Protective effect of intraluminal fecal diverting device against colonic wall erosion induced by wrapping bands: A post-hoc pathological analysis

Double-layer adhesives for preventing anastomotic leakage and reducing post-surgical adhesion

Cost associated with diverting ostomy after rectal cancer surgery: a transnational analysis

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