Endoscopic haemostasis of staple-line haemorrhage following colorectal resection

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
A H MalikR H Kennedy

Abstract

Bleeding from stapled colonic stapled anastomoses is rare, but occasionally may be severe enough to require re-operation, with associated morbidity. Endoscopic therapy is a potential alternative. We examined a large 15-year prospective series of patients who had undergone colorectal resection with stapled anastomosis. We reviewed the management of cases where severe postoperative rectal bleeding had occurred. In six of 777 (0.8%) patients, bleeding occurred that was severe enough to require intervention. In the first three cases, conventional re-operation was performed. In the latter three cases, endoscopic therapy (adrenaline injection, diathermy or endoscopic clipping) was used to control the bleeding. No complications occurred as a result of endoscopic therapy, either patient or anastomosis related. Endoscopic management using standard endoscopic techniques appears safe and effective for haemostasis in colorectal stapled anastomotic bleeding. Endoscopic therapy should probably be attempted before re-operation is considered.

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Citations

Feb 3, 2011·Clinics in Colon and Rectal Surgery·Charles B Whitlow
Nov 5, 2013·World Journal of Gastroenterology : WJG·Chun-Gao ZhouLin-Sun Li
Dec 8, 2014·World Journal of Surgical Oncology·Zheng LouChuangang Fu
Mar 15, 2012·The Surgical Clinics of North America·Seon Jones, Addison K May
May 29, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T GoldaS Biondo
Apr 26, 2016·International Journal of Surgery Case Reports·Dedrick Kok-Hong Chan, Ker-Kan Tan
Feb 15, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Y KuluA Ulrich
Jun 9, 2016·International Journal of Colorectal Disease·Romain BessonThierry Perniceni
May 21, 2010·Diseases of the Colon and Rectum·Khaled M MadboulyMohamed Farid
May 28, 2020·International Journal of Colorectal Disease·Wei LiuJiancong Hu
Jul 5, 2019·BMC Research Notes·Jocelyne HébertCaroline Jose
Jul 27, 2018·Gastroenterology Report·Preeti ShashiBo Shen
Aug 5, 2021·Pancreas·Alexandria J RobbinsGregory J Beilman

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