Sevim Y, Celik SU, Yavarifar H, Akyol C. Minimally invasive management of anastomotic leaks in colorectal surgery. World J Gastrointest Surg 2016; 8(9): 621-626 [PMID: 27721925 DOI: 10.4240/wjgs.v8.i9.621]
Corresponding Author of This Article
Cihangir Akyol, MD, Associate Professor, Department of General Surgery, Ankara University School of Medicine, Sihhiye, 06100 Ankara, Turkey. cihangirakyol@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Sep 27, 2016; 8(9): 621-626 Published online Sep 27, 2016. doi: 10.4240/wjgs.v8.i9.621
Minimally invasive management of anastomotic leaks in colorectal surgery
Yusuf Sevim, Suleyman Utku Celik, Hana Yavarifar, Cihangir Akyol
Yusuf Sevim, Department of General Surgery, Ankara Numune Training and Research Hospital, 06100 Ankara, Turkey
Suleyman Utku Celik, Hana Yavarifar, Cihangir Akyol, Department of General Surgery, Ankara University School of Medicine, 06100 Ankara, Turkey
Author contributions: Sevim Y and Akyol C contributed equally to this work, generated the figures and wrote the manuscript; Celik SU and Yavarifar H contributed to the writing of the manuscript; Akyol C conceived the minireview.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Cihangir Akyol, MD, Associate Professor, Department of General Surgery, Ankara University School of Medicine, Sihhiye, 06100 Ankara, Turkey. cihangirakyol@gmail.com
Telephone: +90-312-5082288
Received: April 29, 2016 Peer-review started: May 4, 2016 First decision: July 4, 2016 Revised: July 6, 2016 Accepted: July 20, 2016 Article in press: July 22, 2016 Published online: September 27, 2016 Processing time: 149 Days and 9.9 Hours
Abstract
Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient’s quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges. The review aimed to provide an overview of the current knowledge on the minimally invasive management of anastomotic leaks.
Core tip: Anastomotic leakage is the most feared complication of colorectal surgery, leading to significant patient morbidity and mortality. Its incidence is 3%-6%, even in experienced hands. Despite the high prevalence of this condition, there is no consensus on the proper management of anastomotic leaks. In this review, we summarize and discuss the current knowledge on minimally invasive treatment strategies for anastomotic leakage after colorectal surgery.
