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Successful management of a chronic post-surgical gastrocutaneous fistula using as a route for enteral feeding tube placement: A case report

Jeong J

Gastrocutaneous fistula is a rare complication of gastric surgery and difficult to manage. Because only 6% of cases close spontaneously, surgical or endoscopic repair is usually required. However, in older...
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Endoscopic management of postoperative upper gastrointestinal leakage

Ahn JY

Anastomotic leakage is a potentially life-threatening adverse event that can occur after gastrectomy or gastric bypass surgery, ranging in severity from minor anastomotic defects to fulminant cases. The management of...
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Role of interventional radiology in the management of postoperative gastrointestinal leakage

Kim JH, Shin JH, Oh JS

Gastrointestinal (GI) leakages after surgery are significant complications that are associated with high morbidity and mortality. Due to recent technology advancements, interventional management of postoperative GI leakage may be a...
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Neoadjuvant chemoradiotherapy determines the prognostic impact of anastomotic leakage in advanced rectal cancer

Oh BY, Park YA, Huh JW, Cho YB, Yun SH, Kim HC, Lee WY

Purpose: The prognostic impact of anastomotic leakage (AL) in rectal cancer remains uncertain. We investigated the prognostic significance of AL in rectal cancer patients who underwent curative surgery, especially in...
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Cross-sectional area of psoas muscle as a predictive marker of anastomotic failure in male rectal cancer patients: Japanese single institutional retrospective observational study

Mizuuchi Y, Tanabe Y, Sada M, Tamura K, Nagayoshi K, Nagai S, Watanabe Y, Tamiya S, Nakata K, Ohuchida K, Nakano T, Nakamura M

Purpose: Preoperative sarcopenia worsens postoperative outcomes in various cancer types including colorectal cancer. However, we often experienced postoperative anastomotic leakage in muscular male patients such as Judo players, especially in...
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Surgical Complications Affecting the Early and Late Survival Rates after Lung Transplantation

Suh JW

Since the first lung transplantation in humans was performed in 1963, patient selection, standardized procurement, and surgical techniques have been developed and established for this procedure. However, despite these developments,...
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Double-layered hand-sewn anastomosis: a valuable resource for the colorectal surgeon

Varela C, Nassr M, Razak A, Kim NK

Hand-sewn anastomosis is an essential and fundamental skill for surgeons dealing with any gastrointestinal anastomosis. Despite the advances in minimally invasive surgery and stapling devices, there are still complex surgical...
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Introduction of a handmade vacuum-assisted sponge drain for the treatment of anastomotic leakage after low anterior rectal resection

Keshvari A, Badripour A, Keramati MR, Kazemeini A, Behboudi B, Fazeli MS, Rahimpour E, Ghaffari P, Tafti SMA

Purpose: Anastomotic leakage, a known major postoperative complication, potentially leads to readmission, reoperation, and increased mortality rates in patients, such as rectal cancer patients following a low anterior resection (LAR)....
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The effect of atrophied pancreas as shown in the preoperative imaging on the leakage rate after pancreaticoduodenectomy

Imam A, Khalayleh H, Brakha M, Benson AA, Lev-Cohain N, Zamir G, Khalaileh A

Backgrounds/Aims: The soft texture of the pancreas parenchyma may inf luence the incidence of pancreatic leakage after pancreaticoduodenectomy (PD). One possible method to assess pancreatic texture and atrophy, is via...
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Endoscopic internal drainage with double pigtail stents for upper gastrointestinal anastomotic leaks: suitable for all cases?

Toh BC, Chong J, Yeung BP, Lim CH, Lim EK, Chan WH, Tan JT

Background/Aims: Surgeons and endoscopists have started to use endoscopically inserted double pigtail stents (DPTs) in the management of upper gastrointestinal (UGI) leaks, including UGI anastomotic leaks. We investigated our own...
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A development study of drain fluid gastrografin as a biomarker of anastomotic leak

Clark DA, Yeoh E, Edmundson A, Harris C, Stevenson A, Steffens D, Solomon M

Purpose: Anastomotic leakage (AL) is the anathema of colorectal surgery. Its occurrence leads to increased morbidity and mortality and a prolonged hospital stay. Much work has gone into studying various...
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Protective ostomies in ovarian cancer surgery: a systematic review and meta-analysis

Santana BN, Torralba EG, Soriano JV, Laseca M, Martinez AM

Objective To assess the benefit of protective ostomies on anastomotic leak rate, urgent re-operations, and mortality due to anastomotic leak complications in ovarian cancer surgery. Methods A systematic literature search was performed in...
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Effect of postoperative non-steroidal anti-inflammatory drugs on anastomotic leakage after pancreaticoduodenectomy

Yoon S, Kim H, Cho HY, Lee HJ, Kim H, Lee HC, Jang JY

Background: Although the association between an increase in anastomotic leakage (AL) and non-steroidal anti-inflammatory drugs (NSAIDs) has been reported in gastrointestinal surgeries, this issue has rarely been addressed for pancreaticoduodenectomy...
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Endoscopic Management of Anastomotic Leakage after Esophageal Surgery: Ten Year Analysis in a Tertiary University Center

El-Sourani N, Miftode S, Bockhorn M, Arlt A, Meinhardt C

Background/Aims: Anastomotic leakage after esophageal surgery remains a feared complication. During the last decade, management of this complication changed from surgical revision to a more conservative and endoscopic approach. However,...
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The Effect of Anastomotic Leakage on the Incidence and Severity of Low Anterior Resection Syndrome in Patients Undergoing Proctectomy: A Propensity Score Matching Analysis

Kim S, Kang SI, Kim SH, Kim JH

Purpose: Proctectomy for the treatment of rectal cancer results in inevitable changes to bowel habits. Symptoms such as fecal incontinence, constipation, and tenesmus are collectively referred to as low anterior...
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Geographical Variation in the Use of Diverting Loop Ileostomy in Australia and New Zealand Colorectal Surgeons

Clark DA, Stephensen B, Edmundson A, Steffens D, Solomon M

Purpose: Anastomotic leak (AL) after a low pelvic anastomosis is a devastating complication, with short- and long-term morbidity and increased mortality. Surgeons may employ various adjuncts in an attempt to...
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Effect of pelvic drain displacement on anastomotic leakage-related morbidity after rectal cancer surgery

Lee HY, Kang SI, Kim SH, Kim JH

Purpose: Drain insertion after proctectomy is common in clinical practice, although the effectiveness of drains has been questioned. However, drains are commonly displaced after surgery. We hypothesized that drain displacement...
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Clinical effect and standardization of indocyanine green angiography in the laparoscopic colorectal surgery

Son GM, Ahn Hm, Lee IY, Lee SM, Park SH, Baek KR

Anastomotic complications occur after 5% to 20% of operations for rectosigmoid colon cancer. The intestinal perfusion status at the anastomotic site is an important modifiable risk factor, and surgeons should...
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The usefulness of transanal tube for reducing anastomotic leak in mid rectal cancer: compared to diverting stoma

Cho SH, Lee IK, Lee YS, Kim MK

Purpose: Diverting stoma (DS) and transanal tube (TAT) are the 2 main procedures for reducing anastomotic leak (AL) in rectal cancer surgery. However, few studies have compared the protective effect...
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Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

De Robles MSB, Young CJ

Purpose: Stapled anastomotic techniques to the distal rectum have gained widespread acceptance due to their procedural advantages. Various modifications in the stapling techniques have evolved since their inception. The triple-staple...
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