The persisting presacral sinus after anastomotic leakage following anterior resection or restorative proctocolectomy

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
P J van KoperenW A Bemelman

Abstract

Despite improvements in anastomotic technique, anastomotic leakage is frequently encountered following anterior resection. This can eventually evolve into a presacral sinus. This study assessed the incidence, the natural course and the outcome of persisting presacral sinus. Patients who underwent low anterior resection (LAR) for cancer or restorative proctocolectomy (RPC) for ulcerative colitis or familial polyposis were eligible. Patients with anastomotic leakage or a presacral abscess were included. Outcome parameters included a persistent presacral sinus, or its closure and average time to closure and the stoma closure rate. Twenty-five patients were identified with a sinus after LAR (n = 20) or RPC (n = 5). A persistent sinus was present in nine (1%) of 834 patients after LAR and two (0.9%) of 229 patients after RPC. Definitive resolution of the sinus occurred in 12 (52%) of 23 assessable patients. This was achieved at a median of 340 days (range 23-731 days). At final follow-up, nine of the 23 patients had permanent faecal diversion because of recurrent abscess or persistent sinus formation, seven after LAR and two after RPC. A significant proportion of patients with anastomotic leakage after rectal surgery develop a chron...Continue Reading

References

Jan 1, 1996·The British Journal of Surgery·O Hallböök, R Sjödahl
Jul 1, 1997·Diseases of the Colon and Rectum·C B WhitlowD E Beck
Mar 27, 2004·Diseases of the Colon and Rectum·B T Swain, C N Ellis
Aug 3, 2007·The British Journal of Surgery·H PtokUNKNOWN Study Group Colon/Rectum Carcinoma (Primary Tumour)
Jan 17, 2008·Diseases of the Colon and Rectum·Soeren Torge MeesMatthias Bruewer
Mar 6, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P JestinU Gunnarsson
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
Jun 11, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S RissM Bergmann

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Citations

Dec 7, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T VerlaanW A Bemelman
May 10, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J-L Zhou, B Shen
Apr 22, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·T A VermeerH J T Rutten
Aug 19, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G D MustersP J Tanis
Mar 5, 2015·International Journal of Colorectal Disease·Dimitrios PatsourasMark L George
Dec 12, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D A M SloothaakP J Tanis
Dec 17, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T J GardenbroekW A Bemelman
Oct 12, 2014·Journal of Crohn's & Colitis·Tom ØreslandUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Nov 27, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·B C OlsenA Karliczek
Nov 1, 2012·Techniques in Coloproctology·D SrinivasamurthyJ Garner
Jul 27, 2017·Annals of Surgery·Wernard A A BorstlapUNKNOWN Dutch Snapshot Research Group
Aug 4, 2019·The Journal of Primary Prevention·Lizabeth A CrawfordRasitha R Jayasekare
Oct 15, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C ZhuoS W Lee
Sep 11, 2018·ANZ Journal of Surgery·Li Yan LimChoon Seng Chong
Aug 13, 2017·International Journal of Colorectal Disease·Emma WesterduinPieter J Tanis
Apr 15, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Peter Kienle, Jörn Richard Magdeburg

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