Can intraluminal devices prevent or reduce colorectal anastomotic leakage: A review

Annelien N. Morks, Klaas Havenga*, Rutger J. Ploeg

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

27 Citations (Scopus)
195 Downloads (Pure)

Abstract

Colorectal anastomotic leakage is a serious complication of colorectal surgery, leading to high morbidity and mortality rates. In recent decades, many strategies aimed at lowering the incidence of anastomotic leakage have been examined. The focus of this review will be on mechanical aids protecting the colonic anastomosis against leakage. A literature search was performed using MEDLINE, EMBASE, and The Cochrane Collaborative library for all papers related to prevention of anastomotic leakage by placement of a device in the colon. Devices were categorised as decompression devices, intracolonic devices, and biodegradable devices. A decompression device functions by keeping the anal sphincter open, thereby lowering the intraluminal pressure and lowering the pressure on the anastomosis. Intracolonic devices do not prevent the formation of dehiscence. However, they prevent the faecal load from contacting the anastomotic site, thereby preventing leakage of faeces into the peritoneal cavity. Many attempts have been made to find a device that decreases the incidence of AL; however, to date, none of the devices have been widely accepted. (C) 2011 Baishideng. All rights reserved.

Original languageEnglish
Pages (from-to)4461-4469
Number of pages9
JournalWorld Journal of Gastroenterology
Volume17
Issue number40
DOIs
Publication statusPublished - 28-Oct-2011

Keywords

  • Anastomotic leakage
  • Colorectal surgery
  • Complication
  • Rectum
  • Device
  • INTRACOLONIC BYPASS PROCEDURE
  • RECTAL-TUBE DECOMPRESSION
  • TOTAL MESORECTAL EXCISION
  • LOW ANTERIOR RESECTION
  • OBSTRUCTED LEFT COLON
  • DEFUNCTIONING STOMA
  • RISK-FACTORS
  • TEMPORARY COLOSTOMY
  • TRANSANAL STENT
  • CANCER SURGERY

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