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Techniques in Coloproctology
Published in: Techniques in Coloproctology 5/2019

01-05-2019 | Trick of the Trade

The reverse leak test for the assessment of low coloanal anastomosis: technical note

Authors: S. H. Emile, S. D. Wexner

Published in: Techniques in Coloproctology | Issue 5/2019

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Excerpt

Anastomotic leakage (AL) following colorectal anastomosis is one of the most dreaded complications of colorectal surgery. The negative impact of AL is not only restricted to the early morbidity and mortality related to the associated sepsis and systemic inflammatory response, but it can also extend to compromise long-term functional and oncologic outcomes [1, 2]. …
Literature
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Vallance A, Wexner S, Berho M, Cahill R, Coleman M, Haboubi N et al (2017) A collaborative review of the current concepts and challenges of anastomoticleaks in colorectal surgery. Colorectal Dis 19(1):O1–O12CrossRefPubMed
2.
Chadi SA, Fingerhut A, Berho M et al (2016) Emerging trends in the etiology, prevention, and treatment of gastrointestinal anastomotic leakage. J Gastrointest Surg 20(12):2035–2051CrossRefPubMed
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Wu Z, van de Haar RC, Sparreboom CL et al (2016) Is the intraoperative air leak test effective in the prevention of colorectal anastomotic leakage? A systematic review and meta-analysis. Int J Colorectal Dis 31(8):1409–1417CrossRefPubMedPubMedCentral
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Li VK, Wexner SD, Pulido N, Wang H, Jin HY, Weiss EG, Nogeuras JJ, Sands DR (2009) Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery: can it further avoid anastomotic failure? Surg Endosc 23(11):2459–2465CrossRefPubMed
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Ricciardi R, Roberts PL, Marcello PW, Hall JF, Read TE, Schoetz DJ (2009) Anastomotic leak testing after colorectal resection: what are the data? Arch Surg 144(5):407–411CrossRefPubMed
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Nachiappan S, Askari A, Currie A, Kennedy RH, Faiz O (2014) Intraoperative assessment of colorectal anastomotic integrity: a systematic review. Surg Endosc 28(9):2513–2530CrossRefPubMed
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Mizrahi I, Abu-Gazala M, Rickles AS et al (2018) Indocyanine green fluorescence angiography during low anterior resection for low rectal cancer: results of a comparative cohort study. Tech Coloproctol 22(7):535–540CrossRefPubMed
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Jafari MD, Wexner SD, Martz JE et al (2015) Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. J Am Coll Surg 220(1):82–92CrossRefPubMed
Metadata
Title
The reverse leak test for the assessment of low coloanal anastomosis: technical note
Authors
S. H. Emile
S. D. Wexner
Publication date
01-05-2019
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 5/2019
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-019-02002-0

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