Abstract
Endo-sponge treatment is a novel approach to manage selected patients with anastomotic leakage following colorectal surgery. However, the available data are still scanty. To evaluate the efficacy and safety of the endo-sponge therapy in a large series, and to perform a review of the current evidence concerning such a treatment. Consecutive patients diagnosed with partial colonic anastomotic leakage managed with endo-sponge placement were enrolled. The endo-sponge system was changed every 48-72 h as outpatient, until to cavity closure. Literature review was performed for pooled-data analysis. Twenty-five patients were enrolled, including 13 (52%) with diverting ileostomy. Following endo-sponge applications (median sessions: 9, range: 1-39; median treatment duration: 4 weeks, range: 1-32), a complete healing was achieved in 22 (88%) patients. Three (12%) patients developed a major complication (1 uretheric fistula, 1 ileal fistula, and 1 pararectal abscess), all successfully treated by surgery. Ileostomy closure was achieved in 11 (84.6%) patients. No mortality related to the procedure was observed. Overall, 174 patients treated with endo-sponge were reported in literature. By considering data of the larger 7 studies, a complete ...Continue Reading
References
Jan 1, 1996·The British Journal of Surgery·O Hallböök, R Sjödahl
Apr 8, 1998·The British Journal of Surgery·E RullierM Parneix
Dec 10, 1999·Journal of the American College of Surgeons·A AlvesP Valleur
Mar 22, 2001·The British Journal of Surgery·A NesbakkenO C Lunde
Mar 27, 2004·Diseases of the Colon and Rectum·B T Swain, C N Ellis
Nov 4, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P MatthiessenR Sjödahl
Dec 21, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M T EriksenUNKNOWN Norwegian Rectal Cancer Group
Mar 25, 2005·Diseases of the Colon and Rectum·Graham BranaganUNKNOWN Wessex Colorectal Cancer Audit Working Group
Feb 1, 2006·International Journal of Colorectal Disease·Carl Frederik Nagell, Kathrine Holte
Mar 31, 2007·The Lancet Oncology·Marcel den DulkUNKNOWN Dutch Colorectal Cancer Group
Aug 3, 2007·The British Journal of Surgery·H PtokUNKNOWN Study Group Colon/Rectum Carcinoma (Primary Tumour)
Dec 21, 2007·Surgical Endoscopy·Rolf WeidenhagenKarl-Walter Jauch
Jan 15, 2008·Endoscopy·A GlitschC D Heidecke
Jan 17, 2008·Diseases of the Colon and Rectum·Soeren Torge MeesMatthias Bruewer
Feb 9, 2008·World Journal of Surgery·Won-Suk LeeHo-Kyung Chun
Apr 15, 2008·Diseases of the Colon and Rectum·Sang Hun JungJin Cheon Kim
Jun 3, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N ArumainayagamA Roe
Nov 28, 2008·Surgical Endoscopy·P J van KoperenW A Bemelman
Jan 27, 2009·Surgery·Sascha Santosh ChopraMichael Hünerbein
Feb 26, 2009·International Journal of Colorectal Disease·Wolfram von BernstorffClaus Dieter Heidecke
Nov 13, 2009·Techniques in Coloproctology·W A Bemelman
Mar 31, 2010·Techniques in Coloproctology·A ArezzoM Morino
Jun 18, 2010·Endoscopy·G LoskeC Müller
Sep 22, 2010·World Journal of Gastroenterology : WJG·Stefan RissMichael Bergmann
Dec 7, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T VerlaanW A Bemelman
Sep 19, 2012·JAMA Surgery·Celeste Y KangMichael J Stamos
Nov 1, 2012·Techniques in Coloproctology·D SrinivasamurthyJ Garner
Apr 12, 2013·Diseases of the Colon and Rectum·Elise Sirois-GiguèrePhilippe Bouchard
May 28, 2013·Surgical Endoscopy·Fuad Pasic, Nermin N Salkic
Jul 1, 2014·World Journal of Gastroenterology : WJG·Rudolf MennigenMike G Laukoetter
Citations
Mar 2, 2016·Therapeutic Advances in Gastroenterology·Fabrizio CereattiGianfranco Donatelli
Oct 11, 2016·World Journal of Gastrointestinal Surgery·Yusuf SevimCihangir Akyol
Sep 11, 2018·Khirurgiia·Yu A ShelyginS I Achkasov
May 22, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Erkin OztasSelcuk Disibeyaz
Jan 25, 2019·Surgical Endoscopy·R E CliffordP A Sutton
Jul 13, 2019·Asian Journal of Endoscopic Surgery·Angeliki ChortiKaterina Kotzampassi
Mar 9, 2018·Royal Society Open Science·Ester ComellasSergio Oller
Apr 8, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S Guel-KleinF Aigner
Dec 4, 2019·International Journal of Colorectal Disease·Marcus KantowskiMichael Tachezy
Dec 6, 2019·Diseases of the Colon and Rectum·Alexandre ChallineYann Parc
Oct 17, 2019·Surgical Endoscopy·Marco Ettore AllaixMario Morino
Feb 27, 2018·Techniques in Coloproctology·Ephraim KatzShmuel Avital
Oct 3, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M Kantowski, A Kunze
Jun 18, 2019·World Journal of Gastrointestinal Endoscopy·Diogo Turiani Hourneaux de MouraChristopher C Thompson
Jul 6, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G I PopivanovM S Tabakov
Jul 25, 2019·Techniques in Coloproctology·J F HuismanM Vermaas
May 8, 2020·Techniques in Coloproctology·B MahendranS Smolarek
Apr 15, 2017·United European Gastroenterology Journal·Raffaele MantaRita Conigliaro
Oct 17, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Matthew C HernandezMarie Crandall
Apr 9, 2019·BJS Open·M ShalabyP Sileri
Jan 23, 2021·ANZ Journal of Surgery·Gary SharpCherry E Koh
Jun 19, 2021·VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy·Pedro PopoutchiMarcelo Averbach
Jun 12, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shannon Melissa ChanAnthony Yuen Bun Teoh
Feb 5, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ahmet SürekHalil Aliş
Aug 30, 2021·International Journal of Colorectal Disease·Flavius Şandra-PetrescuFlorian Herrle
Sep 2, 2021·Endoscopy International Open·Banreet S DhindsaDouglas G Adler
Nov 25, 2021·International Journal of Colorectal Disease·Florian KühnJens Werner