An endoscopic mucosal grading system is predictive of leak in stapled rectal anastomoses

Surgical Endoscopy

Volumn 32, Issue 4, 2018, Pages 1769-1775

  Sujatha Bhaskar, Sarath ^a   Jafari, Mehraneh D ^a   Hanna, Mark ^a   Koh, Christina Y ^a   Inaba, Colette S ^a   Mills, Steven D ^a   Carmichael, Joseph C ^a   Nguyen, Ninh T ^a   Stamos, Michael J ^a   Pigazzi, Alessio ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Anastomotic leak; Colorectal; Endoscopy; Mucosal grading

Indexed keywords

ADULT; ANASTOMOSIS LEAKAGE; ARTICLE; COHORT ANALYSIS; COLON MUCOSA; COLORECTAL ANASTOMOSIS; COLORECTAL SURGERY; COMORBIDITY; DEMOGRAPHY; ENDOSCOPIC MUCOSAL GRADING SYSTEM; ENDOSCOPY; FEMALE; HUMAN; INTRAOPERATIVE PERIOD; ISCHEMIA; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MIDDLE AGED; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; PREDICTIVE VALUE; PRIORITY JOURNAL; RECTUM ANASTOMOSIS; RECTUM MUCOSA; RETROSPECTIVE STUDY; SCORING SYSTEM; SURGEON; SURGICAL STAPLING; ADVERSE EVENT; AGED; ANASTOMOSIS; PATHOLOGY; POSTOPERATIVE COMPLICATION; PROCEDURES; RECTUM; SURGERY;

ADULT; AGED; ANASTOMOSIS, SURGICAL; ANASTOMOTIC LEAK; ENDOSCOPY; FEMALE; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; RECTUM; RETROSPECTIVE STUDIES; SURGICAL STAPLING;

EID: 85029546665     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-017-5860-y     Document Type: Article

References (17)

1. Kang CY, Halabi WJ, Chaudhry OO et al (2013) Risk factors for anastomotic leakage after anterior resection for rectal cancer. JAMA surg 148:65–71
2. Hammond J, Lim S, Wan Y et al (2014) The burden of gastrointestinal anastomotic leaks: an evaluation of clinical and economic outcomes. J Gastrointest Surg 18:1176–1185
3. Jager T, Nawara C, Neureiter D et al (2015) Impact of anastomotic leakage on long-term survival in mid-to-low rectal cancer. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen 86:1072–1082
4. van der Pas MH, Haglind E, Cuesta MA et al (2013) Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol 14:210–218
5. Karliczek A, Harlaar NJ, Zeebregts CJ et al (2009) Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery. Int J Colorectal Dis 24:569–576
6. Wu Z, van de Haar RCJ, Sparreboom CL et al (2016) Is the intraoperative air leak test effective in the prevention of colorectal anastomotic leakage? a systematic review and meta-analysis. Int J Colorectal Dis 31:1409–1417
7. Schiff ABB, Ghosh SK, Roy S et al (2016) Intra-operative anastomotic leak rates and testing methodology in colorectal resection surgery. J Surg Surgical Res 2:048–054
8. James DR, Ris F, Yeung TM et al (2015) Fluorescence angiography in laparoscopic low rectal and anorectal anastomoses with pinpoint perfusion imaging–a critical appraisal with specific focus on leak risk reduction. Colorectal Dis 17(Suppl 3):16–21
9. Nachiappan S, Askari A, Currie A et al (2014) Intraoperative assessment of colorectal anastomotic integrity: a systematic review. Surg Endosc 28:2513–2530
10. Shamiyeh A, Szabo K, Ulf Wayand W et al (2012) Intraoperative endoscopy for the assessment of circular-stapled anastomosis in laparoscopic colon surgery. Surg Laparosc Endosc Percutan Tech 22:65–67
11. Li VKM, Wexner SD, Pulido N et al (2009) Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery: can it further avoid anastomotic failure? Surg Endosc 23:2459
12. Lieto E, Orditura M, Castellano P et al (2011) Endoscopic intraoperative anastomotic testing may avoid early gastrointestinal anastomotic complications. A prospective study. J Gastrointest Surg 15:145–152
13. Lanthaler M, Biebl M, Mittermair R et al (2008) Intraoperative colonoscopy for anastomosis assessment in laparoscopically assisted left-sided colon resection: is it worthwhile? Surg Laparosc Endosc Percutan Tech 18:27–31
14. Schmidt O, Merkel S, Hohenberger W (2003) Anastomotic leakage after low rectal stapler anastomosis: significance of intraoperative anastomotic testing. Eur J Surg Oncol 29:239–243
15. Sakanoue Y, Nakao K, Shoji Y et al (1993) Intraoperative colonoscopy. Surg Endosc 7:84–87
16. Jafari MD, Wexner SD, Martz JE et al (2015) Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. J Am Coll Surg 220(82–92):e1
17. Shogan BD, Belogortseva N, Luong PM et al (2015) Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak. Sci Transl Med 7:286ra68