当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF COLORECTAL DISEASE期刊下所有文献 > Little consensus in either definition or diagnosis of a lower gastro-intestinal anastomotic leak amongst colorectal surgeons.

Little consensus in either definition or diagnosis of a lower gastro-intestinal anastomotic leak amongst colorectal surgeons.

Abstract：

PURPOSE:The purposes of this study were to assess the working definition of a colorectal anastomotic leak among colorectal surgeons and to survey the current approach to investigation and management of a patient with a suspected anastomotic leak. METHODS:Online survey consisting of nine questions regarding the definition, assessment and investigation of anastomotic leaks was conducted. Of the 738 eligible ACP members contacted, 210 responded (28.4%). RESULTS:Results demonstrated that 94.2% of surgeons agreed 'extravasation of contrast on enema' and 91.8% agreed 'faecal material seen in drains/from the wound' constituted a clinical leak. Only 69.2% agreed that a leak was 'intra-abdominal sepsis requiring a laparotomy', and about half agreed that radiological collections constituted a leak when either treated with antibiotics (46.6%) or with percutaneous drainage (51.4%). Serial clinical examination was the perceived most sensitive clinical feature for a leak, with 75% of surgeons ranking this in their top three choices. Surgeons radiologically confirm a leak on average in 80.2% of cases. A CT with rectal contrast for a left-sided leak was selected by 42.9% of respondents. For a right-sided/small bowel anastomosis, 44.5% selected a CT with oral contrast and 43.4% a CT with IV contrast. CONCLUSIONS:There is still significant heterogeneity between surgeons in what they define as an anastomotic leak. Most surgeons valued clinical examination as the most sensitive initial tool for leak detection; however, radiology has a major role in the confirmation of clinical leaks in colorectal patients. There is an increasing need to be able to classify and grade anastomotic leaks, both to improve the care of patients and for audit purposes.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Adams K,Papagrigoriadis S

doi

10.1007/s00384-013-1640-x

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

967-71

issue

7

eissn

0179-1958

issn

1432-1262

journal_volume

28

pub_type

杂志文章

相关文献

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE文献大全
  • Comparison of short- and long-term outcomes after extralevator abdominoperineal excision and standard abdominoperineal excision for rectal cancer: a systematic review and meta-analysis.

    abstract：PURPOSE:Whether the introduction of extralevator abdominoperineal excision (ELAPE) improves survival and safety remains controversial. We conducted a systematic review and meta-analysis of all comparative studies to define the efficacy and safety of ELAPE and standard abdominoperineal excision (APE). MATERIALS AND MET...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析,评审

    doi：10.1007/s00384-013-1793-7

    authors： Yu HC,Peng H,He XS,Zhao RS

    更新日期：2014-02-01 00:00:00

  • Systematic review: anal and rectal changes after radiotherapy for prostate cancer.

    abstract：PURPOSE:Pelvic radiotherapy may lead to changes of anorectal function resulting in incontinence-related complaints. The aim of this study was to systematically review objective findings of late anorectal physiology and mucosal appearance after irradiation for prostate cancer. METHODS:MEDLINE, EMBASE, and the Cochrane ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/s00384-013-1784-8

    authors： Krol R,Smeenk RJ,van Lin EN,Yeoh EE,Hopman WP

    更新日期：2014-03-01 00:00:00

  • Covering the colon anastomoses with amniotic membrane prevents the negative effects of early intraperitoneal 5-FU administration on anastomotic healing.

    abstract：PURPOSE:This study investigated whether covering the colonic anastomoses with amniotic membrane (AM) protects the anastomotic healing from the adverse effects of immediate 5-fluorouracil (5-FU) administration. METHODS:One hundred twenty wistar albino rats were randomized to one of four groups (I-IV, 30 rats in each) a...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-009-0833-9

    authors： Uludag M,Ozdilli K,Citgez B,Yetkin G,Ipcioglu OM,Ozcan O,Polat N,Kartal A,Torun P,Isgor A

    更新日期：2010-02-01 00:00:00

  • Stapled hemorrhoidopexy: functional results, recurrence rate, and prognostic factors in a single center analysis.

    abstract：PURPOSE:Since its introduction, stapled hemorrhoidopexy (SHP), the so-called Longo procedure, became a widely accepted treatment option for prolapsing hemorrhoids. Nevertheless, from the early years, concerns grew about the early functional results and potential recurrences. In order to evaluate of SHP with special res...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-015-2354-z

    authors： Voigtsberger A,Popovicova L,Bauer G,Werner K,Weitschat-Benser T,Petersen S

    更新日期：2016-01-01 00:00:00

  • Erectile and urinary function in men with rectal cancer treated by neoadjuvant chemoradiotherapy and neoadjuvant chemotherapy alone: a randomized trial report.

    abstract：OBJECTIVE:The aim was to evaluate erectile and urinary function of male patients with rectal cancer treated by neoadjuvant (NA) chemoradiotherapy (CRT) or NA chemotherapy only. METHODS:In this prospective randomized trial (ClinicalTrials.gov NCT01211210; "FOWARC"), we included 102 men who received NA therapy for stage...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00384-016-2605-7

    authors： Huang M,Lin J,Yu X,Chen S,Kang L,Deng Y,Zheng J,Luo Y,Wang L,Lan P,Wang J

    更新日期：2016-07-01 00:00:00

  • Computed tomography diagnosed first time diverticulitis and colorectal cancer.

    abstract：BACKGROUND:Computed tomography (CT) with intravenous contrast is the gold standard for diagnosing diverticulitis. Published results concerning follow-up colonoscopy after an episode of acute diverticulitis to rule out cancer are conflicting. This study aimed to evaluate the risk of underlying colonic malignancy in pati...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03607-w

    authors： Fogelstrom A,Hallen F,Pekkari K

    更新日期：2020-10-01 00:00:00

  • Biosutures improve healing of experimental weak colonic anastomoses.

    abstract：PURPOSE:Use of biosutures in animal models of colonic anastomoses is associated with decreased adhesions without affecting anastomotic strength. This study aimed to evaluate the effect of biosutures on colonic anastomoses kept free of adhesions by peritoneal instillation of icodextrin 4%. METHODS:Three types of coloni...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-010-0952-3

    authors： Pascual I,Fernández de Miguel G,García Arranz M,García-Olmo D

    更新日期：2010-12-01 00:00:00

  • Expression of the human phosphatases of regenerating liver (PRLs) in colonic adenocarcinoma and its correlation with lymph node metastasis.

    abstract：BACKGROUND:Human phosphatases of regenerating liver (PRLs) can induce cell growth, differentiation, and malignant transformation. In this study, we used specific polyclonal antibodies against PRLs to investigate their expression in colonic adenocarcinomas and its correlation with patient gender, age, tumor differentiat...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-007-0303-1

    authors： Wang Y,Li ZF,He J,Li YL,Zhu GB,Zhang LH,Li YL

    更新日期：2007-10-01 00:00:00

  • Comparison of immunologic outcomes of laparoscopic vs open approaches in clinical stage III colorectal cancer.

    abstract：PURPOSE:Improved survival in patients with stage III colon cancer after a laparoscopic colectomy (LC) has been reported by Lacy et al. (Lancet 359:2224-2229, 6), and preserved immunity was suggested as the reason for the survival advantage. The aim of our study was to clarify the existence of an immunological benefit a...

    journal_title：International journal of colorectal disease

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00384-010-0882-0

    authors： Han SA,Lee WY,Park CM,Yun SH,Chun HK

    更新日期：2010-05-01 00:00:00

  • Scintigraphic assessment of colonic function during defaecation.

    abstract：:The aim of this study was to develop a method by which rectal and colonic activity could be examined during defaecation under physiological conditions, in order to evaluate whether the colon plays a role in defaecation. Subjects presented to the Nuclear Medicine department on the day following ingestion of oral In-111...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00341204

    authors： Lubowski DZ,Meagher AP,Smart RC,Butler SP

    更新日期：1995-01-01 00:00:00

  • New approach to large haemorrhoidal prolapse: double stapled haemorrhoidopexy.

    abstract：PURPOSE:To verify if in large haemorrhoidal prolapse (independently from the degree) in patients with no symptoms of obstructed defaecation syndrome, the use of a stapled hemorrhoidopexy variant, comprising a double stapler haemorrhoidopexy (DSH), makes it possible to reduce the percentage of failures or relapses and t...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-009-0750-y

    authors： Naldini G,Martellucci J,Talento P,Caviglia A,Moraldi L,Rossi M

    更新日期：2009-12-01 00:00:00

  • Timing of surgery in ulcerative colitis in the biologic therapy era-the patient's perspective.

    abstract：BACKGROUND:There is no general consensus regarding the ideal timing of surgery in patients with refractory ulcerative colitis (UC). Decision-making and timing of restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is influenced by treating physicians and patients themselves. The aim of this study was t...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-018-3129-0

    authors： Gröne J,Lorenz EM,Seifarth C,Seeliger H,Kreis ME,Mueller MH

    更新日期：2018-10-01 00:00:00

  • Carbachol induces TGF-alpha expression and colonic epithelial cell proliferation in sensory-desensitised rats.

    abstract：OBJECTIVE/BACKGROUND:Signals for the expression of the peptide growth factors epidermal growth factor and transforming growth factor-alpha (TGFalpha) in the gastrointestinal mucosa are largely unknown. We have shown earlier that extrinsic afferents in the gastrointestinal tract induce TGFalpha expression in colonic muc...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-009-0856-2

    authors： Bulut K,Felderbauer P,Hoeck K,Schmidt WE,Hoffmann P

    更新日期：2010-03-01 00:00:00

  • Detection of micrometastases and skip metastases with ex vivo sentinel node mapping in carcinoma of the colon and rectum.

    abstract：BACKGROUND:The debate over sentinel lymph node mapping (SLNM) and focused pathologic examination to detect micrometastases in patients with colorectal cancer (CRC) continues. We present in this paper our experience with SLNM for CRCs to improve staging. In addition, we have detailed the mapping procedure on an anatomic...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-006-0132-7

    authors： Yagci G,Unlu A,Kurt B,Can MF,Kaymakcioglu N,Cetiner S,Tufan T,Sen D

    更新日期：2007-02-01 00:00:00

  • Transrectal ultrasonography: three years' experience.

    abstract：:Since 1983 we have used radial and linear ultrasound probes in the laboratory and clinical examination of the rectum. Normal endosonographic appearances have been characterised by examining polyethylene membranes and resection specimens. Twenty normal subjects and 11 patients with rectal cancer have been examined, and...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF01648338

    authors： Boscaini M,Masoni L,Montori A

    更新日期：1986-10-01 00:00:00

  • Equivalent Helicobacter pylori infection rates in Lynch syndrome mutation carriers with and without a first-degree relative with gastric cancer.

    abstract：BACKGROUND:Patients with Lynch syndrome (LS) are at an increased risk of developing gastric cancer. In 2010, a guideline that recommended to screen all patients for Helicobacter pylori was implemented in the Netherlands. H. pylori is an important risk factor in the development of gastric cancer in the general populatio...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-016-2524-7

    authors： Soer EC,Leicher LW,Langers AM,van de Meeberg PC,van der Wouden EJ,Koornstra JJ,Bigirwamungu-Bargeman M,Vasen HF,de Vos tot Nederveen Cappel WH

    更新日期：2016-03-01 00:00:00

  • Is diversion free ileal pouch-anal anastomosis a safe procedure? A meta-analysis of 4973 cases.

    abstract：PURPOSE:Ileal pouch-anal anastomosis (IPAA) has been established as the procedure of choice for patients who require excision of the colon and rectum for familial adenomatous polyposis and ulcerative colitis. The requirement for proximal stomal diversion in IPAA is controversial. OBJECTIVES:To compare post-operative o...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/s00384-020-03814-5

    authors： Khan K,Manzoor T,Khan S,Hartley JE

    更新日期：2021-01-04 00:00:00

  • Persistent fecal incontinence into adulthood after repair of anorectal malformations.

    abstract：PURPOSE:Persistent fecal incontinence beyond childhood is common in ARM patients. The aim of this study was to analyze a consecutive series of adult patients with persistent incontinence, establish the causes, and evaluate whether further treatment could be offered. METHODS:Forty-four adult ARM patients with reported ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-018-3220-6

    authors： Danielson J,Karlbom U,Graf W,Wester T

    更新日期：2019-03-01 00:00:00

  • Involvement of AP-1 proteins in pancreatic stellate cell activation in vitro.

    abstract：BACKGROUND AND AIMS:Pancreatic stellate cells (PSCs) play a key role in the development of pancreatic fibrosis. The molecular mechanisms underlying their activation in response to profibrogenic mediators, however, are largely unknown. Extending previous studies on the transcriptional regulation of PSC activation, we ha...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-003-0565-1

    authors： Fitzner B,Sparmann G,Emmrich J,Liebe S,Jaster R

    更新日期：2004-09-01 00:00:00

  • Laparoscopic total mesorectal excision for extraperitoneal rectal cancer: long-term results.

    abstract：UNLABELLED:The long-term role of laparoscopy in the treatment of rectal cancer is still controversial. The aim of the present study was to evaluate the safety, the feasibility, the perioperative outcome, and the long-term results of laparoscopic total mesorectal excision (TME) for extraperitoneal rectal cancer consider...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-014-2017-5

    authors： Martellucci J,Bergamini C,Bruscino A,Prosperi P,Tonelli P,Todaro A,Valeri A

    更新日期：2014-12-01 00:00:00

  • Follow-up after colorectal polypectomy: a benefit-risk analysis of German surveillance recommendations.

    abstract：OBJECTIVE:For colorectal screening patients a mean gain of life time was previously calculated of about 30-50 days. Different recommendations for recognising at-risk groups and defining surveillance intervals after an initial finding of colorectal adenomas have been published. However, no benefit-risk analysis regardin...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,meta分析

    doi：10.1007/s00384-006-0252-0

    authors： Becker F,Nusko G,Welke J,Hahn EG,Mansmann U

    更新日期：2007-08-01 00:00:00

  • Rectal endosonography for the visualisation of the anastomosis after anterior resection and its relevance to local recurrence.

    abstract：:Rectal endosonography can be used to detect and localise recurrent rectal carcinoma. Distal and proximal to a rectal anastomosis the separate layers of the bowel wall as seen by rectal endosonography are well defined but at the precise level of the anastomosis separation of the layers is lost and they appear to merge....

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/BF00300400

    authors： Charnley RM,Heywood MF,Hardcastle JD

    更新日期：1990-08-01 00:00:00

  • Laparoscopic colorectal resection for diverticulitis.

    abstract：:This study evaluated outcome in patients undergoing laparoscopically assisted sigmoid resection for diverticular disease. A total of 29 consecutive patients were treated surgically for colonic diverticulitis; in 27 of these laparoscopy was performed. The review of medical records from a control group of 34 patients un...

    journal_title：International journal of colorectal disease

    pub_type： 临床试验,杂志文章

    doi：10.1007/s003840050130

    authors： Köhler L,Rixen D,Troidl H

    更新日期：1998-01-01 00:00:00

  • Association between serum bilirubin and mucosal healing among Japanese patients with ulcerative colitis: a cross-sectional study.

    abstract：PURPOSE:Bilirubin is known to have antioxidant effects. Several pieces of evidence regarding association between serum bilirubin and UC exist. Three studies found that serum bilirubin was inversely associated with severity of ulcerative colitis (UC), but no evidence regarding an association between serum bilirubin and ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03774-w

    authors： Shiraishi K,Furukawa S,Yagi S,Hanayama M,Mori K,Ninomiya T,Suzuki S,Ohashi K,Murakami H,Takeshita E,Ikeda Y,Hiasa Y

    更新日期：2021-02-01 00:00:00

  • Abdominal pain in quiescent inflammatory bowel disease.

    abstract：OBJECTIVES:Inflammation is an important driver of abdominal pain in inflammatory bowel disease (IBD). However, some patients in remission still experience pain. We aimed to identify risk factors associated with abdominal pain in quiescent IBD (QP-IBD) and to characterize differences from patients with active disease ex...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03727-3

    authors： Coates MD,Johri A,Gorrepati VS,Maheshwari P,Dalessio S,Walter V,Stuart A,Koltun W,Bernasko N,Tinsley A,Williams ED,Clarke K

    更新日期：2021-01-01 00:00:00

  • Impact of implementation of the ERAS program in colorectal surgery: a multi-center study based on the "Lazio Network" collective database.

    abstract：BACKGROUND:ERAS implementation improved outcomes in patients undergoing colorectal surgery. The process of incorporating this pathway in clinical practice may be challenging. This observational study investigated the impact of systematic ERAS implementation on surgical outcomes in patients undergoing colorectal resecti...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00384-019-03496-8

    authors： Grieco M,Lorenzon L,Pernazza G,Carlini M,Brescia A,Santoro R,Crucitti A,Palmieri RM,Santoro E,Stipa F,Sacchi M,Persiani R

    更新日期：2020-03-01 00:00:00

  • Outcomes of diverticulitis in patients with tobacco smoking: a propensity-matched analysis of nationwide inpatient sample.

    abstract：BACKGROUND:Recent data shows a significantly increased risk of diverticulosis among smokers. There is limited data on the association between tobacco smoking and diverticulitis. We aim to determine in-hospital outcomes, length of hospital stay, and resource utilization in a contemporary cohort of diverticulitis patient...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-020-03805-6

    authors： Gayam V,Koirala S,Garlapati PR,Mandal AK

    更新日期：2021-01-07 00:00:00

  • Anti-TNF strategies in Crohn's disease: mechanisms, clinical effects, indications.

    abstract：:Although the cause of Crohn's disease remains obscure, considerable progress has been made in recent years in unraveling the pathogenesis of the inflammatory processes seen in chronic idiopathic inflammatory bowel diseases. Th-1 lymphocytes seem to orchestrate the inflammation through the production of proinflammatory...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章,评审

    doi：10.1007/s003840050182

    authors： Baert FJ,Rutgeerts PR

    更新日期：1999-02-01 00:00:00

  • Laparoscopic colorectal resection for benign polyps not suitable for endoscopic polypectomy.

    abstract：BACKGROUND AND AIMS:Endoscopic polypectomy still remains the cornerstone of therapy for colorectal polyps and adenomas. However, if colorectal polyps are too large or not accessible for endoscopic ablation or cannot be removed without an increased risk for perforation, operative procedures are required. In such circums...

    journal_title：International journal of colorectal disease

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00384-009-0688-0

    authors： Hauenschild L,Bader FG,Laubert T,Czymek R,Hildebrand P,Roblick UJ,Bruch HP,Mirow L

    更新日期：2009-07-01 00:00:00

  • Adenocarcinoma of the ileoanal pouch for ulcerative colitis--a complication of severe chronic atrophic pouchitis?

    abstract：BACKGROUND:The appearance of a carcinoma in the ileal pouch after restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) for ulcerative proctocolitis is rare. Most of these adenocarcinomas previously described in literature develop from residual viable rectal mucosa. We report a case of an adenocarcinoma ...

    journal_title：International journal of colorectal disease

    pub_type： 杂志文章

    doi：10.1007/s00384-005-0063-8

    authors： Knupper N,Straub E,Terpe HJ,Vestweber KH

    更新日期：2006-07-01 00:00:00