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Journal articles on the topic 'Resection and anastomosis'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Raghunandan R. "A Clinical Study – Resection and Anastomosis of Bowel in Our Surgical Practice." Academia Journal of Surgery 3, no. 1 (2020): 1–7. http://dx.doi.org/10.47008/ajs/2020.3.1.1.

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Background: Anastomotic leaks are among the most dreaded complications after bowel surgery. In the present era, even with better understanding of the impact of local and systemic factors on anastomotic healing, dehiscence and leakage remains frequent and serious problem associated with high morbidity and mortality. However, problems with definitions and the retrospective nature of previous analyses have been major limitations. The aim of the study to use a prospective database to study the incidence of intestinal resection and anastomoses, to determine important factors and their significance

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Nishikimi, Kyoko, Shinichi Tate, Ayumu Matsuoka, Satoyo Otsuka, and Makio Shozu. "Surgical Techniques and Outcomes of Colorectal Anastomosis after Left Hemicolectomy with Low Anterior Rectal Resection for Advanced Ovarian Cancer." Cancers 13, no. 16 (2021): 4248. http://dx.doi.org/10.3390/cancers13164248.

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Extended colon resection is often performed in advanced ovarian cancer. Restoring intestinal continuity and avoiding stoma creation improve patients’ quality of life postoperatively. We tried to minimize the number of anastomoses, restore intestinal continuity, and avoid stoma creation for 295 patients with stage III/IV ovarian cancer who underwent low anterior rectal resection (LAR) with or without colon resection during cytoreductive surgery. When the remaining colon could not reach the rectal stump after left hemicolectomy with LAR, we used the following techniques for tension-free anastomo

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Simonova, Lilia, Elena Arabadzhieva, Sasho Bonev, Atanas Yonkov, and Evgeni Zhivkov. "Significant prognostic factors for anastomotic leakage after colorectal resection." Surgery 86, no. 1 (2022): 29–37. https://doi.org/10.5281/zenodo.15275972.

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INTRODUCTION: Anastomosic leakage after colorectal resection is a complication that requires reliable methods for prevention and early diagnosis which are also related to assessment of predictive factors for its occurrence. OBJECTIVE: To analyze various factors that are presented in the literature as risksfor anastomotic insufficiency after colorectal resection.METHODS: A study (combined in design - prospective and retrospective) was conducted, covering 410 patients who underwent colorectal resection with anastomosis. Multivariative statistical analysis was performed on a number of factor

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Salem, Mohamed Hasson, Othman Mohammed A. Nasser, and Awadh Hudeel. "Early oral feeding after gastrointestinal anastomosis." University of Aden Journal of Natural and Applied Sciences 26, no. 1 (2022): 105–13. http://dx.doi.org/10.47372/uajnas.2022.n1.a10.

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To allow healing of the anastomotic site, nil-by-mouth is widely practiced for several days after resection and anastomosis of gastrointestinal. This study determines the feasibility and safety of early oral feeding following gastrointestinal resections and anastomoses. This prospective study included consecutive patients who underwent gastrointestinal resection from June 2016 to June 2021. These patients divided into two groups, according to their postoperative feeding protocol. The early oral feeding group received oral diet on the first postoperative day, while the late oral feeding group w

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Balkarov, A. A., E. G. Rybakov, A. A. Ponomarenko, M. V. Alekseev, and V. N. Kashnikov. "REINFORCEMENT OF STAPLE LINE OF COLORECTAL ANASTOMOSIS AS A METHOD OF LEAKEAGE PREVENTION." Koloproktologia, no. 4 (December 30, 2018): 16–24. http://dx.doi.org/10.33878/2073-7556-2018-0-4-16-24.

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AIM: to decrease anastomotic leakage rate using transanal and transabdominal reinforcing sutures of staple line of colorectal anastomosis. PATIENTS AND METHODS: a prospective randomized trial is started. The main group included patients which underwent anterior or low anterior resection of the rectum with reinforcing of the staple line of colorectal anastomosis using reinforcing sutures on 2, 4, 6, 8, 10 and 12 by conventional dial. The control group consisted of patients without reinforcing of the anastomosis line. RESULTS: from November 2017 to October 2018, 127 patients underwent anterior o

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von Breitenbuch, Philipp, Pompiliu Piso, and Hans J. Schlitt. "Safety of rectum anastomosis after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy." Journal of Surgical Oncology 118, no. 3 (2018): 551–56. http://dx.doi.org/10.1002/jso.25189.

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AbstractBackground and ObjectivesIn highly selected patients with peritoneal carcinomatosis, cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) can be an aggressive but worthwhile treatment regimen. Resection of the rectosigmoid is frequently performed with CRS. The aim of the study was to assess the safety of the rectal anastomosis in this setting.MethodsBetween 2005 and 2016, 436 patients underwent CRS/HIPEC. Clinical data were analyzed with respect to the morbidity associated with a rectum resection.ResultsIn 436 patients, 174 rectum resections (40%)

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R., Banurekha, Sadasivam S., and Sathyamoorthy K. "Hand sewn versus stapler anastomosis in elective gastro intestinal surgeries." International Surgery Journal 4, no. 7 (2017): 2316. http://dx.doi.org/10.18203/2349-2902.isj20172789.

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Background: The technique for intestinal anastomosis in elective gastrointestinal surgeries depends on site, bowel calibre and underlying disease. The decision to choose hand sewn or stapler anastomosis depends on surgical experience and preference. The objective of this study was to study the outcome of hand sewn anastomosis compared with stapler anastomosis in elective gastrointestinal surgeries.Methods: Retrospective comparative study was conducted in surgical wards of a tertiary referral hospital from July’2013 to June’2016. Data analysed with independent samples T-test to compare mean val

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Thakur, Binay, Mukti Devkota, Zuosheng Li, Amit Sharma, and Yogesh Regmi. "Low rectal resection without a diverting stoma." Nepalese Journal of Cancer 1, no. 1 (2017): 8–12. http://dx.doi.org/10.3126/njc.v1i1.25621.

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Background: A diverting stoma is a usual practice after low and ultralow rectal resections in a fear to minimize the morbidities related to anastomotic leak. We tried to explore not to use a prophylactic diverting stoma and to assess the rate of leak. Methods: Patients undergoing total proctocolectomy (18%)/ low anterior resection of rectum (LAR) (59%)/ ultralow LAR (18%) and intersphincteric LAR (5%) for colorectal adenocarcinoma were analyzed. In all the cases, total mesorectal excision (TME) approach was used. CT/ MRI was used for proper staging and clinically locally advanced tumors

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Muthukumarasamy, Navinakathiresu, Stanley Eng Chee Ren, and Fitzgerald Henry. "Transverse colorectal anastomosis in left-sided colorectal stapled anastomosis and risk of anastomotic leak: a single tertiary centre experience." International Surgery Journal 9, no. 5 (2022): 940. http://dx.doi.org/10.18203/2349-2902.isj20221137.

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Background: Extensive left colorectal resection following a high IMA ligation can lead to an anastomosis with tension and a compromised perfusion. The aim of this study is to compare the safety and feasibility of transverse colorectal anastomosis in anastomotic leak (AL) following left-sided colorectal stapled anastomosis with a descending colon/ileo – rectal anastomosis.Methods: This retrospective study was performed in a prospectively maintained database at a tertiary colorectal surgical institution in Malaysia to evaluate the impact of performing a transverse colon to rectal anastomosis in

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Muthukumarasamy, Navinakathiresu, Stanley Eng Chee Ren, and Fitzgerald Henry. "Transverse colorectal anastomosis in left-sided colorectal stapled anastomosis and risk of anastomotic leak: a single tertiary centre experience." International Surgery Journal 9, no. 5 (2022): 940. http://dx.doi.org/10.18203/2349-2902.isj20221137.

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Background: Extensive left colorectal resection following a high IMA ligation can lead to an anastomosis with tension and a compromised perfusion. The aim of this study is to compare the safety and feasibility of transverse colorectal anastomosis in anastomotic leak (AL) following left-sided colorectal stapled anastomosis with a descending colon/ileo – rectal anastomosis.Methods: This retrospective study was performed in a prospectively maintained database at a tertiary colorectal surgical institution in Malaysia to evaluate the impact of performing a transverse colon to rectal anastomosis in

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Pathak, A., MD Aklakhur Rahaman, and SM Mishra. "Single-Layer Versus Double Layer Intestinal Anastomosis of Small Bowel at Nepalgunj Teaching Hospital." Journal of Nepalgunj Medical College 12, no. 1 (2015): 35–38. http://dx.doi.org/10.3126/jngmc.v12i1.13405.

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Background: Resection and anastomosis of small bowel is one of the common surgical procedure encountered in routine and emergency cases. There are various techniques of anastomosing the resected intestine.Objectives: To know the efficacy of single layer anastomosis over double layer anastomosis in terms of anastomotic leakage, wound infection, mortality and time consumed.Methods: A comparative cross sectional analytical study was carried out at department of General Surgery at Nepalgunj Medical College Teaching Hospital, Kohalpur, Banke, Nepal from January 2013 to December 2013. Altogether 62

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Walker, Patrick F., Joseph D. Bozzay, David W. Schechtman, et al. "Anastomotic Outcomes in Military Exploratory Laparotomies in the Modern Combat Era." American Surgeon 88, no. 4 (2022): 710–15. http://dx.doi.org/10.1177/00031348211050281.

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Background Intestinal anastomoses in military settings are performed in severely injured patients who often undergo damage control laparotomy in austere environments. We describe anastomotic outcomes of patients from recent wars. Methods Military personnel with combat-related intra-abdominal injuries (June 2009-December 2014) requiring laparotomy with resection and anastomosis were analyzed. Patients were evacuated from Iraq or Afghanistan to Landstuhl Regional Medical Center (Germany) before being transferred to participating U.S. military hospitals. Results Among 341 patients who underwent 1

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Katsuno, Hidetoshi, Koutarou Maeda, Tsunekazu Hanai, Koji Masumori, Yoshikazu Koide, and Toru Kono. "Novel Antimesenteric Functional End-to-End Handsewn (Kono-S) Anastomoses for Crohn's Disease: A Report of Surgical Procedure and Short-Term Outcomes." Digestive Surgery 32, no. 1 (2015): 39–44. http://dx.doi.org/10.1159/000371857.

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Introduction: Anastomotic surgical recurrence after bowel resection is a major problem in patients with Crohn's disease. The aim of this prospective observational study was to evaluate the efficacy of a novel technique for restoring bowel continuity after resection involving either the small or the large intestine. Methods: The first case was instructed by Dr. Kono at Fujita Health University. The involved bowel segment was divided transversely with a linear stapler. The edges of two stapled lines are then connected to create a supporting column, which prevented surgical recurrence from anasto

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Vajner, Yu S., K. V. Atamanov, E. R. Atamanova, et al. "The use of a modified “end-to-side” small intestine anastomosis in patients with acute obstruction of the terminal section of the small and right colon." Experimental and Clinical Gastroenterology 1, no. 6 (2021): 82–87. http://dx.doi.org/10.31146/1682-8658-ecg-190-6-82-87.

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Introduction. The prevalence of colorectal cancer in the world is increasing every year. In more than 40% of patients, the disease debuts with a clinical picture of acute intestinal obstruction, while in one third of cases the tumor is located in the right half of the colon. This leads to the necessity to perform colon resection or bypass surgery, the main stage of which is making entero- colic anastomosis. However, up to 15% of these anastomoses has a leakage. Development of methods of forming a reliable anastomosis is thus critical.Materials and methods. 37 patients with acute intestinal obs

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Yokote, Fumi, Yoshikane Yamauchi, Hiroko Komura, et al. "A novel method of tracheal anastomosis healing using a single submucosal injection of basic fibroblast growth factor: initial report." European Journal of Cardio-Thoracic Surgery 61, no. 4 (2021): 917–24. http://dx.doi.org/10.1093/ejcts/ezab542.

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Abstract OBJECTIVES For the technical management of tracheal anastomosis, developing new and simple methods is required to relieve anastomotic tension. This study aimed to investigate whether basic fibroblast growth factor (bFGF) only once injected immediately before anastomosis promotes cartilage regeneration at the tracheal anastomosis and whether the regenerated cartilage has the effect of reinforcing the anastomosis in a rabbit model. METHODS New Zealand white rabbits were anaesthetized, and the cervical trachea was exposed through a cervical midline incision, followed by resection of the

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Lishchishin, V. Ya, A. G. Barishev, A. N. Petrovsky, A. N. Lishchenko, A. Y. Popov, and V. A. Porhanov. "Method of forming a pancreatogastric anastomosis after pancreatoduodenal resection." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 26, no. 4 (2021): 97–104. http://dx.doi.org/10.16931/1995-5464.2021-4-97-104.

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Aim. To evaluate the reproducibility and safety of the developed pancreatogastric anastomosis with various surgical approaches during pancreatoduodenectomy.Materials and methods. The experience of surgical treatment of 47 patients with malignant tumours of the periampullary zone, who underwent pancreatoduodenectomy, was considered. The proposed variant of anastomose was performed to 14 (29.8%) patients: in 7 cases with a minimally invasive approach to perform pancreatoduodenectomy; and in 7 cases with an open approach. To compare retrospectively 33 (70.2%) patients who underwent pancreatogastr

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Miller, Preston R., Michael C. Chang, J. Jason Hoth, James H. Holmes, and J. Wayne Meredith. "Colonic Resection in the Setting of Damage Control Laparotomy: Is Delayed Anastomosis Safe?" American Surgeon 73, no. 6 (2007): 606–9. http://dx.doi.org/10.1177/000313480707300613.

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Based on a large body of literature concerning the subject, trauma surgeons are becoming more comfortable with anastomosis rather than stoma creation in patients with destructive colon injuries requiring resection. This literature was largely generated before the widespread acceptance of the importance of damage control laparotomy (DCL). Thus, when such injuries occur in patients initially left in colonic discontinuity after DCL, the question of anastomosis versus stoma becomes more difficult, and there are no data to guide management decisions. The goal of this report is to describe the resul

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Savenkov, D.Yu., O.D. Bielosludtsev, and S.S. Siryi. ""End-to-end" and "end-to-side" colorectal anastomosis: does the selection of surgical tactics influence insufficiency of the apparatus anastomosis?" Medicni perspektivi 25, no. 3 (2020): 139–43. https://doi.org/10.26641/2307-0404.2020.3.214851.

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It is still uncertain whether the choice of “end-to-end” or “end-to-side” anastomosis affects the risk of anastomosis insufficiency, with low anterior resections of the rectum in patients with colorectal cancer. The aim of our work was to determine the influence of choosing the surgical tactics of overlaying colorectal “end-to-end” or “end-to-side” anastomosis on the frequency and severity of the anastomosis leak in patients after rectal resection and postoperative recovery period. A retrospective analysis of the medical documentation of patients

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Klymenko, A. V., V. M. Klymenko, and I. Ye Kononenko. "Pathology gradual assessment of colorectal anastomosis." Pathologia 19, no. 2 (2022): 116–22. http://dx.doi.org/10.14739/2310-1237.2022.2.262454.

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Aim: to analyze the state of the colorectal anastomosis after laparoscopic and open resection of the sigmoid and rectum in patients with colorectal cancer and to develop a unified grading of pathological changes in the anastomosis during its laparoscopic and videorectoscopic assessment. Materials and methods. Results of the treatment of 79 patients who underwent resection of the rectum and sigmoid colon due to adenocarcinoma were analyzed. Patients were divided into two groups. The first group consisted of 34 (43.04 %) patients, whose treatment method was laparoscopic resection of the sigmoid

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Dr., K. Siddhartha, Manisha Narayan Dr., and Manjunath BD Dr. "A Clinical Study of the Intra Operative Factors Affectingthe Outcome of Intestinal Resection and Anastomosis." International Journal of Innovative Science and Research Technology 8, no. 5 (2023): 1670–75. https://doi.org/10.5281/zenodo.7995025.

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Intestines form a major part of human digestive system. Both in terms of length as well as surface area, the small and large intestinesconstitute about 90% of the digestive system. Intestines form a major part of human digestive system. One of the most common surgeries done on the intestines is resection and anastomosis. It is the surgical procedure of removing the diseased portion of the bowel and joining the normal viable disease free bowel ends.  Objective To identify patient and surgeon related intraoperative factors that affects the outcome of intestinal resection and anastomosis and pre

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MEHMOOD, K., H. MANSOOR, and S. LATIF. "Long-Gap Esophageal Atresia - How to Gain Length: An Experimental Study." Annals of King Edward Medical University 4, no. 4 (2020): 74–76. https://doi.org/10.21649/akemu.v4i4.4011.

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This experimental study was carried out on rabbits in order to evaluate the usefulness of circular myotomies, in bridging the esophageal gap. Thirty two rabbits were divided into 2 groups, each having 16 rabbits. Rabbits of first group underwent resections of 1cm, 2cm, 3cm and 4 cm of esophagus in subgroups of 4 rabbits each. Single circular myotomy of upper esophageal segment was followed by end to end anastomosis. Rabbits of second group had resection of similar lengths in each subgroups but double circular myotomies were performed followed by end to end esophageal anastomosis. There was no

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Kit, Oleg, Yuriy Gevorkyan, Natalya Soldatkina, et al. "LATE ANASTOMOTIC LEAKAGE AFTER ANTERIOR RESECTION OF THE RECTUM." Problems in oncology 66, no. 1 (2020): 64–70. http://dx.doi.org/10.37469/0507-3758-2020-66-1-64-70.

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We analyzed literature data and our results of treatment of 37 patients with cancer of the middle and lower rectal ampulla (Т2-4аN0-2М0) who underwent low anterior resection of the rectum with colorectal anastomosis. The purpose of the study was to reveal characteristics of late colorectal anastomotic leakage. The results demonstrated differences in the clinical course of early and late colorectal anastomotic leakage, the site of anastomotic defect, anastomosis characteristics and the need for repeat surgery. There were some pathogenetic aspects distinguishing early and late anastomotic leakag

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Poredska, K., L. Kunovský, F. Marek, Z. Kala, D. Ivanecká, and I. Iesalnieks. "P416 Addition of oral antibiotics to mechanical bowel preparation significantly improves anastomotic healing after ileocolic resection for Crohn’s disease." Journal of Crohn's and Colitis 16, Supplement_1 (2022): i406. http://dx.doi.org/10.1093/ecco-jcc/jjab232.543.

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Abstract Background Addition of oral antibiotics (OA) to mechanical bowel preparation (MBP) is thought to reduce postoperative morbidity compared to MBP alone. However, data supporting this concept in Crohn’s disease patients undergoing ileocolic resection do not exist. Methods Starting, 2016, all ileocolic resections were performed after preoperative MBP combined with OA consisting of two separate dosages of Metronidazole/Neomycine or Metronidazol/Paramomycine. These patients were compared to previous controls undergoing ileocolic resection after mere MBP (1992–2005). Between, 2005 and, 2016,

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Kostov, Gancho G., Rossen S, Dimov, and Daniela D. Almeida. "Risk Factors for Anastomotic Leakage after Low Anterior Resection." Folia Medica 62, no. 2 (2020): 290–94. http://dx.doi.org/10.3897/folmed.62.e47727.

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Introduction: Low anterior resection (LAR) is a standard surgical procedure for distal rectal carcinoma that allows creation of a colorectal anastomosis, with anal sphincter preservation and permanent colostomy avoidance. Anastomotic leakage (AL) is a potential complication of LAR present in 3% to 20% of cases leading to a significant increase in postoperative morbidity. AL represents a communication between the intra luminal and extra luminal compartments caused by a violation of the integrity of the intestinal wall. The risk factors of this procedure have been discussed and still remain a co

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Celentano, V., F. Luvisetto, and S. Toh. "Ex vivo model for a new bilateral antimesenteric V-modified side-to-side isoperistaltic anastomosis to prevent recurrence in ileocolic Crohn’s disease." Annals of The Royal College of Surgeons of England 101, no. 5 (2019): 313–17. http://dx.doi.org/10.1308/rcsann.2019.0026.

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Introduction The high rate of recurrence following ileocaecal resection for Crohn’s disease may lead to repeat surgery in 20–30% of patients at five years after surgery. Recurrence usually occurs at the anastomosis and the neoterminal ileum and the association of a strictureplasty to widen the bowel lumen in the regions immediately proximal (‘anastomotic inlet’) and distal (‘anastomotic outlet’) to the anastomosis may delay or reduce the risk of surgical recurrence. Materials and methods A side to side isoperistaltic anastomosis, with an associated V-modified strictureplasty on the anti-mesent

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Chiappa, Antonio, Andrew Zbar, Francesca Biella, and Carlo Staudacher. "One-Stage Resection and Primary Anastomosis following Acute Obstruction of the Left Colon for Cancer." American Surgeon 66, no. 7 (2000): 619–22. http://dx.doi.org/10.1177/000313480006600703.

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The purpose of this study was to analyze the outcome in patients with acute obstruction of the left colon for cancer and treated by intraoperative decompression, on-table lavage, resection, and primary anastomosis. Between March 1992 and May 1998, 50 patients with acute obstruction of the left colon for cancer underwent surgery. Of these, 39 patients (25 men and 14 women; mean age, 65 years; range, 23–89) were treated with intraoperative decompression, on-table lavage, resection, and primary anastomosis. Six patients (15%) had fecal localized peritonitis. Left colectomies were performed in 16

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Meade, B., and Moran Gen. "Reducing the incidence and managing the consequences of anastomotic leakage after rectal resection." Acta chirurgica Iugoslavica 51, no. 3 (2004): 19–23. http://dx.doi.org/10.2298/aci0403019m.

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Anastomotic dehiscence is a serious, life-threatening complication of any rectal anastomosis and may be associated with an increased risk of local cancer recurrence. The leak rate following low anterior resection is in the region of 10% as reported in the recent randomised Dutch rectal cancer trial. Although accurate prediction of risk is impossible, certain factors are known to influence leak rates. There is an inverse relationship between the height of the anastomosis from the anal verge and the leak rate, with the lower anastomoses carrying the highest risk. Proximal defunctioning by a loop

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Tymchenko, M. Ye. "CHOICE OF SURGERY TACTICS IN PATIENTS WITH HIGH RISK OF ANASTOMOTIC LEAK DEVELOPMENT." International Medical Journal, no. 1 (March 5, 2020): 25–28. http://dx.doi.org/10.37436/2308-5274-2020-1-5.

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Intestinal resection is one of the most common surgeries performed on urgent indications, the most difficult is the decision in favor of the formation of primary anastomosis in the case of primary infection of abdominal cavity, multiple defects of the intestinal wall, as well as the general serious condition of a patient. In order to improve the methods of diagnosis and prevention of post−surgery complications, as well as personification of surgical tactics of treatment in the patients undergoing anastomotic surgeries in intestine, the results of treatment of 96 patients were analyzed. The lev

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Liu, Qinjie, Pengfei Wang, Dong Lu, and Qingsong Tao. "Surgical management for the intra-abdominal infection secondary to perforation of digestive tract." World Journal of Surgical Infection 3, no. 1 (2024): 19–23. http://dx.doi.org/10.4103/wjsi.wjsi_4_24.

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Abdominal infection caused by digestive tract perforation is a common cause of emergency surgery. In most cases, resection of the diseased intestinal segment is required. After resection, whether to perform a one-stage anastomosis or a stomy is the key to perplexing clinicians. With the continuous improvement of surgical technology and the increasing demand of patients to improve their quality of life, one-stage resection and anastomosis have become the most ideal surgical method. However, due to the concern about postoperative anastomotic leakage, the clinical practice of postoperative stoma

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Moran, B. J. "Predicting the risk and diminishing the consequences of anastomotic leakage after anterior resection for rectal cancer." Acta chirurgica Iugoslavica 57, no. 3 (2010): 47–50. http://dx.doi.org/10.2298/aci1003047m.

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INTRODUCTION: Anastomotic leakage is one of the most serious early complications of any intestinal anastomosis. The morbidity and mortality are high and patients may be at increased risk of cancer recurrence. In colorectal surgery the risks are particularly high following low anterior resection. Factors which increase and decrease the risks are discussed. METHODS: A review of the main published risk factors for anastomotic leakage after anterior resection for rectal cancer together with the authors personal experience is reported. A review of a recent large randomized trial of a defunctioning

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Totikov, V. Z., Z. V. Totikov, D. V. Toboev, and R. A. Khallaev. "Hartmann’s Procedure Versus Primary Anastomosis with Protective Proximal Stoma after Distal Colon Resection and Anterior Rectal Resection in Elective and Delayed Surgical Interventions." Creative surgery and oncology 15, no. 2 (2025): 12–18. https://doi.org/10.24060/2076-3093-2025-15-2-12-18.

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Introduction. The optimal completion strategy for surgical interventions following resection of the distal colon and proximal rectum in elective and delayed operations remains a subject of active scientific debate, particularly in patients with perifocal abscesses, pelvic inflammatory disease, or inadequate preoperative bowel preparation. Aim. This study aims to compare the outcomes of Hartmann’s procedure, distal colon resection, and anterior resection of rectum with primary anastomosis and protective stoma in patients with the compensated and chronic forms of colonic obstruction, perifocal a

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Cherkasov, M. F., A. V. Dmitriev, V. S. Groshilin, S. V. Pereskokov, M. A. Kozyrevskiy, and A. A. Urupina. "Failure of Colorectal Anastomosis: Risk Factors, Prevention, Diagnosis, Therapeutic Tactics." Russian Journal of Gastroenterology, Hepatology, Coloproctology 29, no. 2 (2019): 27–34. http://dx.doi.org/10.22416/1382-4376-2019-29-2-27-34.

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Aim. To analyse and generalize available literature data on the problem of colorectal anastomotic leakage after rectal resection. Key findings. Over the last decade, there has been an increasing trend towards sphincter-preserving operations in modern colorectal surgery. The widespread use of suturing devices of various diameters allows the formation of ultra-low anastomoses (at the level of the pelvic floor). One of the menacing complications after rectal resection is anastomotic leakage, which frequency can reach 21%. The mortality from anastomotic leakage can reach 40%. The analysed literatu

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Maggard, Melinda A., Jesse E. Thompson, Paul J. Schmit, et al. "Same Admission Colon Resection with Primary Anastomosis for Acute Diverticulitis." American Surgeon 65, no. 10 (1999): 927–30. http://dx.doi.org/10.1177/000313489906501006.

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Current standard of care for complicated diverticulitis includes urgent resection with colostomy versus antibiotic treatment, followed by delayed resection with primary anastomosis at a second admission. In certain circumstances, it is possible to perform resection and anastomosis on the same admission for acute diverticulitis. A retrospective review was completed for patients undergoing surgery for diverticulitis from 1991 to 1998. Groups included: 1) sigmoid resection with primary anastomosis on same admission (n = 18); 2) resection with protective end colostomy (n = 16); and 3) in-patient a

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Kotelnikov, A. G., Yu I. Patyutko, D. V. Podluzhny, et al. "Pancreatodigestive anastomosis: the key to a favorable outcome of pancreaticoduodenal resection." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 27, no. 3 (2022): 92–99. http://dx.doi.org/10.16931/1995-5464.2022-3-92-99.

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The paper presents the results of various studies and meta-analyses which focus on assessing the frequency of formation of clinically significant pancreatic fistulas in various types of pancreatic-digestive anastomoses. Pancreatodigestive anastomosis is not an independent predictive factor of pancreatic complications. None of the modern types of pancreatodigestive anastomosis has proved its superiority. The choice of the pancreatodigestive anastomosis method is based on the correct selection of the organ with which the pancreatic stump is connected and the surgeon’s experience and skill in for

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Kacker, Ashutosh, and Jerry Huo. "Reinforcement of an end-to-end Tracheal Resection Anastomosis with Fibrin Glue: A Case Report." Ear, Nose & Throat Journal 80, no. 4 (2001): 234–38. http://dx.doi.org/10.1177/014556130108000412.

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Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fi

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Holak, P., and Z. Lekston. "Shape memory compression anastomosis clips in gastrointestinal surgery in dogs." Veterinární Medicína 61, No. 9 (2016): 524–27. http://dx.doi.org/10.17221/1/2016-vetmed.

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This paper describes clinical experiences with the use of shape memory nickel-titanium (NiTi) clips in gastrointestinal surgery in dogs. Side-to-side small bowel anastomosis was performed in eight dogs where intestinal continuity had to be restored after bowel resection. Billroth’s operation I was performed in one case. Compression anastomosis clips with two-way shape memory were used in all surgical procedures. Intestinal and gastrointestinal anastomoses involving shape memory clips were effective in all patients. Anastomotic leaks were not observed, and all clips were expelled 5–7 days after

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Balkarov, A. A., M. V. Alekseev, E. G. Rybakov, and Yu A. Shelygin. "Influence of colorectal anastomotic leakage on time before the loop stoma closing." Surgery and Oncology 13, no. 4 (2024): 11–16. http://dx.doi.org/10.17650/2949-5857-2023-13-4-11-16.

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Background. Important task is determining the long-term consequences of colorectal anastomotic leakage. Leakage with clinical manifestations leads to a higher frequency of local recurrences of rectal cancer and increases the severity of manifestations of low anterior resection syndrome. How does the leakage of colorectal anastomosis affect the period before the closure of loop stoma?Aim. To determine the influence of anastomotic leakage on the term before closing the ileostomy.Methods. In this retrospective incomparable study were included 618 patients with rectal cancer who had been underwent

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Shapera, Emanuel, and Roger W. Hsiung. "Assessment of Anastomotic Perfusion in Left-Sided Robotic Assisted Colorectal Resection by Indocyanine Green Fluorescence Angiography." Minimally Invasive Surgery 2019 (July 14, 2019): 1–4. http://dx.doi.org/10.1155/2019/3267217.

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Background. Indocyanine green fluorescent angiography (IcGA) has been used with success in guiding intraoperative management to prevent colorectal anastomotic complications. Prior studies in open and laparoscopic colorectal surgery, such as PILLAR II, have demonstrated a low anastomotic leak rate (1.4%). As the minimally invasive approach progresses from laparoscopic to robotic approach, the effect and safety of IcGA in assessing anastomotic perfusion in the latter deserve further investigation. Methods. The objective of the study was to determine the safety of IcGA in guiding intraoperative m

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Kundan, Kumar, Kumar Mithilesh, Kumar Das Hemant, and Kumar Sharma Sushant. "Evaluation of Prognostic Factors in Outcome of Bowel Anastomosis: A Hospital Based Study." International Journal of Pharmaceutical and Clinical Research 16, no. 12 (2024): 941–44. https://doi.org/10.5281/zenodo.14599259.

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<strong>Background:</strong> Bowel anastomosis is the surgical procedure done in order to establish communication between two formerly distant portions of the bowel. This surgical procedure restores bowel continuity after the removal of a pathological condition affecting the intestines. A dangerous complication of bowel anastomosis is anastomotic leak causing peritonitis, which is related with a high morbidity and mortality. Aims of this study was to recognize the risk factors for anastomotic leak and study the rate of early complications and mortality of intestinal anastomosis. <str

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Velygotsky, M. M., S. E. Arutyunov, I. V. Teslenko, and M. V. Klymenko. "INDICATIONS FOR BILIARY DECOMPRESSION AND CHOICE OF BILIODIGESTIVE ANASTOMOSIS IN PANCREATICODUODENAL RESECTION." Kharkiv Surgical School, no. 1-2 (February 26, 2023): 47–52. http://dx.doi.org/10.37699/2308-7005.1-2.2023.10.

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Summary. Objective. To develop an algorithm for choosing the method of biliary decompression and to determine the optimal method of biliodigestive anastomosis in pancreaticoduodenal resection (PDR). Materials and methods. Pancreaticoduodenal resection was performed in 302 patients with obstructive diseases of the pancreaticoduodenal zone. Biliary decompression was performed in 62 (20,5 %) patients, the following methods were used: percutaneous perhepatic cholangiodrainage, endoscopic stenting, various variants of cholecystostomy, biliodigestive anastomosis. At the reconstructive stage of

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Kyasa, Shiva Kumar, Anil Kumar Bushigampala, Shyam V, and Jadhav Maloth Deepak. "A Clinical Study of the Factors Affecting the Outcome of Intestinal Resection and Anastomosis." International Journal of Toxicological and Pharmacological Research 13, no. 12 (2023): 85–89. https://doi.org/10.5281/zenodo.10981351.

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<strong>Introduction:</strong> Anastomosis refers to a surgical procedure or a natural connection between two tubular structures, such as blood vessels, intestines or other hollow organs. Anastomotic leak is one of the most common and dreaded complications after the surgical procedure of intestinal anastomosis. <strong>Aim and Objective</strong>: To discuss about factors affecting the outcome of intestinal resection and Anastomosis. <strong>Materials and Method:</strong> This was prospective observational study conducted on 75 patients requiring intestinal resection and ana

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Tapias, Luis F., Cameron D. Wright, Michael Lanuti, Ashok Muniappan, Daniel Deschler, and Douglas J. Mathisen. "Hyperbaric oxygen therapy in the prevention and management of tracheal and oesophageal anastomotic complications." European Journal of Cardio-Thoracic Surgery 57, no. 6 (2020): 1203–9. http://dx.doi.org/10.1093/ejcts/ezz364.

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Abstract OBJECTIVES Failure of anastomotic healing is a morbid complication after airway or oesophageal surgery. Hyperbaric oxygen therapy (HBOT) has been used extensively in the management of complex wound-healing problems. We demonstrate the use of HBOT to rescue at-risk anastomoses or manage anastomotic failures in thoracic surgery. METHODS Retrospective review of 25 patients who received HBOT as part of the management of tracheal or oesophageal anastomotic problems during 2007–2018. HBOT was delivered at 2 atm with 100% oxygen in 90-min sessions. RESULTS Twenty-three patients underwent air

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Shrimanker, Nikhita, Nathan P. Heller, Fabiola Souza, and Daniel E. Kim. "Late anastomotic perforation of the ileum 3 years after intestinal resection." BMJ Case Reports 17, no. 8 (2024): e260668. http://dx.doi.org/10.1136/bcr-2024-260668.

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Late perforation of the ileum is a rare and potentially life-threatening complication following intestinal resection. We present a unique case of a woman in her 60s with a history of appendiceal carcinoid tumour, who underwent a right hemicolectomy. Positron emission tomography and surveillance CTs showed normal surgical changes and no recurrent malignancy. Three years postoperatively, she presented with severe abdominal pain. CT revealed a perforation along the ileal wall of the ileocolonic anastomosis. She underwent emergent resection and repeat ileocolonic anastomosis. We conclude that the

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CASTRO, Paula Marcela Vilela, Felipe Piccarone Gonçalves RIBEIRO, Amanda de Freitas ROCHA, Mônica MAZZURANA, and Guines Antunes ALVAREZ. "Hand-sewn versus stapler esophagogastric anastomosis after esophageal ressection: sistematic review and meta-analysis." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 27, no. 3 (2014): 216–21. http://dx.doi.org/10.1590/s0102-67202014000300014.

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INTRODUCTION: Postoperative anastomotic leak and stricture are dramatic events that cause increased morbidity and mortality, for this reason it's important to evaluate which is the best way to perform the anastomosis. AIM: To compare the techniques of manual (hand-sewn) and mechanic (stapler) esophagogastric anastomosis after resection of malignant neoplasm of esophagus, as the occurrence of anastomotic leak, anastomotic stricture, blood loss, cardiac and pulmonary complications, mortality and surgical time. METHODS: A systematic review of randomized clinical trials, which included studies fro

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Aghayev, E. K., T. E. Mamedov, E. M. Gasimov, and Z. E. Ismayilova. "Efficacy of application of a human placenta hydrolysate in prophylaxis of the intestinal anastomoses sutures insufficiency." Klinicheskaia khirurgiia 86, no. 7 (2019): 9–12. http://dx.doi.org/10.26779/2522-1396.2019.07.09.

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Objective. Studying of impact of a human placenta hydrolysate on regeneration of intestinal anastomosis and prophylaxis of their sutures insufficiency. Materials and methods. Experimental investigations were conducted on two groups of rabbits. In every group a simulation model of an acute strangulation ileus was created. In a one day a relaparotomy, resection of necrotized intestinal segments with anastomosing in a “side-to-side” fashion were done in rabbits of both groups. After the operation the control group rabbits have obtained a standard treatment, while in the main group the rabbi

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Kapur, Raj P., Michael A. Arnold, and Miriam R. Conces. "Infra-anastomotic Innervation of Residual Aganglionic Distal Rectum After Pull-through Surgery for Hirschsprung Disease." Pediatric and Developmental Pathology 22, no. 5 (2019): 420–30. http://dx.doi.org/10.1177/1093526619837788.

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Background Descending neurons are important for intestinal reflex activities, including the recto-anal inhibitory reflex involved in normal defecation. Pull-through surgery for Hirschsprung disease results in the anastomosis of ganglionic bowel to native aganglionic rectum just superior to the internal anal sphincter, which potentially could allow for physiologically significant infra-anastomotic innervation. Methods The density and distribution of intramuscular neuronal nitric oxide synthase (nNOS)- and mucosal calretinin-immunoreactive nerves were evaluated proximal and distal to the anastom

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Teleky, B., Barbara Jech, Judith Karner-Hanusch, et al. "Straight and colonic J-pouch reconstruction after low anterior resection." Acta chirurgica Iugoslavica 53, no. 2 (2006): 109–12. http://dx.doi.org/10.2298/aci0602109t.

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Purpose: A complication after restorative rectal surgery with a straight anastomosis is low-anterior resection syndrome with a postoperatively deteriorated anorectal function. The colonic J-reservoir is sometimes used with the purpose of reducing these symptoms. An alternative method is to use a simple side-to-end anastomosis or a coloplasty. Material and Methods: Three-hundred fifty seven patients with rectal cancer undergoing total mesorectal excision (TME). Three-hundred (84.0%) received a low anterior resection with primary anastomosis and colo-rectal n=194 (64.6%) or colo-anal anastomosis

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Chopko, Trevor C., Vineeth Sudhindran, and Daniel Stephens. "Roux-en-Y retrograde intussusception: surgical reconstruction via sequential isoperistaltic side-to-side anastomoses." BMJ Case Reports 17, no. 2 (2024): e258660. http://dx.doi.org/10.1136/bcr-2023-258660.

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Intussusception following Roux-en-Y gastric bypass is a rare, potentially life-threatening complication. Patients present with intermittent obstructive symptoms, and the diagnosis is made on imaging. Treatment is surgical considering the high likelihood of non-operative failure, strangulation, incarceration, perforation and concern for malignancy. We present the case of a woman in her 60s with a history of Roux-en-Y gastric bypass who presented with retrograde jejunojejunal intussusception at the distal Roux anastomosis. She proceeded to the operating room for complete anastomotic resection wi

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Podoluzhnyi, V. I., A. B. Startsev, Yu A. Kokoulina, and I. A. Radionov. "Peptic ulcer of gastrojejunal anastomosis: an undeservedly neglected problem." Fundamental and Clinical Medicine 8, no. 2 (2023): 87–92. http://dx.doi.org/10.23946/2500-0764-2023-8-2-87-92.

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Aim. To evaluate the incidence and causes of peptic ulcers of the gastrojejunal anastomosis to develop the corresponding preventive measures.Materials and Methods. We retrospectively analysed the case histories of the patients with peptic ulcer who have been admitted to our surgical unit during 1981-1996 and 2007-2021. A total of 62 patients with peptic ulcers of the anastomosis who underwent Billroth II resection were examined radiographically, endoscopically, and intraoperatively, including proteolysis and acidity measurements.Results. While the number of gastric operations has been reduced

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Wildeboer, Aurelia, Wido Heeman, Arne van der Bilt, et al. "Laparoscopic Laser Speckle Contrast Imaging Can Visualize Anastomotic Perfusion: A Demonstration in a Porcine Model." Life 12, no. 8 (2022): 1251. http://dx.doi.org/10.3390/life12081251.

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Background: Intestinal resection causes inevitable vascular damage, which cannot always be seen during an intraoperative clinical assessment of local intestinal perfusion. If left unaltered, impaired perfusion can lead to complications, such as anastomotic leakage (AL). Therefore, we demonstrate the use of a novel laparoscopic laser speckle contrast imaging (LSCI)-based approach in order to assess local intestinal perfusion during the construction of intestinal anastomoses. Methods: Three segments were isolated from the small intestine of a pig, while the perfusion of each was compromised by c

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