MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?

Nowadays, colorectal anastomotic leak is a threatening surgical complication, especially in low and ultralow rectal resections. Attempts to resolve this problem fultimately lead to the creation of permanent stoma. Preservation of rectal anastomosis is an important task, because in case of its leakag...

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Main Authors: F. Sh. Akhmetzyanov, V. I. Egorov, A. I. Valeev, V. A. Bukhalova
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2018-03-01
Series:Сибирский онкологический журнал
Subjects:
Online Access:https://www.siboncoj.ru/jour/article/view/676
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author F. Sh. Akhmetzyanov
V. I. Egorov
A. I. Valeev
V. A. Bukhalova
author_facet F. Sh. Akhmetzyanov
V. I. Egorov
A. I. Valeev
V. A. Bukhalova
author_sort F. Sh. Akhmetzyanov
collection DOAJ
description Nowadays, colorectal anastomotic leak is a threatening surgical complication, especially in low and ultralow rectal resections. Attempts to resolve this problem fultimately lead to the creation of permanent stoma. Preservation of rectal anastomosis is an important task, because in case of its leakage, more than 50 % of patients will have the need for permanent stoma. In this article the authors review various treatment options for anastomotic leakage. Methods of treating presacral sinuses that resulted from mesorectumectomy and techniques of their drainage, as well as the effectiveness of endoscopic methods with biologic glue were discussed. Methods that do not lead to anastomotic leak are more preferable in terms of improvement of quality of life of patients and further prognosis.
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institution Kabale University
issn 1814-4861
2312-3168
language Russian
publishDate 2018-03-01
publisher Russian Academy of Sciences, Tomsk National Research Medical Center
record_format Article
series Сибирский онкологический журнал
spelling doaj-art-910cb45fe9a34eb0a6030a8bb1f808892025-08-20T03:56:24ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682018-03-01171929810.21294/1814-4861-2018-17-1-92-98521MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?F. Sh. Akhmetzyanov0V. I. Egorov1A. I. Valeev2V. A. Bukhalova3Tatarstan Regional Clinical Cancer Center; Kazan State Medical UniversityTatarstan Regional Clinical Cancer Center; Kazan State Medical UniversityKazan State Medical UniversityKazan State Medical UniversityNowadays, colorectal anastomotic leak is a threatening surgical complication, especially in low and ultralow rectal resections. Attempts to resolve this problem fultimately lead to the creation of permanent stoma. Preservation of rectal anastomosis is an important task, because in case of its leakage, more than 50 % of patients will have the need for permanent stoma. In this article the authors review various treatment options for anastomotic leakage. Methods of treating presacral sinuses that resulted from mesorectumectomy and techniques of their drainage, as well as the effectiveness of endoscopic methods with biologic glue were discussed. Methods that do not lead to anastomotic leak are more preferable in terms of improvement of quality of life of patients and further prognosis.https://www.siboncoj.ru/jour/article/view/676colorectal cancersurgerycolorectal anastomotic leakendoscopic stentingendoscopic clipping
spellingShingle F. Sh. Akhmetzyanov
V. I. Egorov
A. I. Valeev
V. A. Bukhalova
MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?
Сибирский онкологический журнал
colorectal cancer
surgery
colorectal anastomotic leak
endoscopic stenting
endoscopic clipping
title MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?
title_full MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?
title_fullStr MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?
title_full_unstemmed MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?
title_short MANAGEMENT OF COLORECTAL ANASTOMOTIC LEAK: IS IT POSSIBLE TO SAVE ANASTOMOSIS?
title_sort management of colorectal anastomotic leak is it possible to save anastomosis
topic colorectal cancer
surgery
colorectal anastomotic leak
endoscopic stenting
endoscopic clipping
url https://www.siboncoj.ru/jour/article/view/676
work_keys_str_mv AT fshakhmetzyanov managementofcolorectalanastomoticleakisitpossibletosaveanastomosis
AT viegorov managementofcolorectalanastomoticleakisitpossibletosaveanastomosis
AT aivaleev managementofcolorectalanastomoticleakisitpossibletosaveanastomosis
AT vabukhalova managementofcolorectalanastomoticleakisitpossibletosaveanastomosis