Minimally invasive management of anastomotic leaks in colorectal surgery

Sevim Y., Celik S. U., Yavarifar H., AKYOL C.

WORLD JOURNAL OF GASTROINTESTINAL SURGERY, vol.8, no.9, pp.621-626, 2016 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Review
  • Volume: 8 Issue: 9
  • Publication Date: 2016
  • Doi Number: 10.4240/wjgs.v8.i9.621
  • Journal Name: WORLD JOURNAL OF GASTROINTESTINAL SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.621-626
  • Keywords: Minimally invasive surgery, Anastomotic leak, Colorectal surgery, EXPANDABLE METAL STENTS, SCOPE-CLIP SYSTEM, CASE SERIES, GASTROINTESTINAL PERFORATIONS, POSTOPERATIVE COMPLICATIONS, ENDOSCOPIC CLOSURE, VACUUM THERAPY, LONG-TERM, RESECTION, EXPERIENCE
  • Ankara University Affiliated: Yes

Abstract

Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient's quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges. The review aimed to provide an overview of the current knowledge on the minimally invasive management of anastomotic leaks.