An endoscopic mucosal grading system is predictive of leak in stapled rectal anastomoses.

ABSTRACT:

Background

Anastomotic leak is a devastating postoperative complication following rectal anastomoses associated with significant clinical and oncological implications. As a result, there is a need for novel intraoperative methods that will help predict anastomotic leak.

Methods

From 2011 to 2014, patient undergoing rectal anastomoses by colorectal surgeons at our institution underwent prospective application of intraoperative flexible endoscopy with mucosal grading. Retrospective review of patient medical records was performed. After creation of the colorectal anastomosis, application of a three-tier endoscopic mucosal grading system occurred. Grade 1 was defined as circumferentially normal appearing peri-anastomotic mucosa. Grade 2 was defined as ischemia or congestion invo

SUBMITTER: Sujatha-Bhaskar S 

PROVIDER: S-EPMC6282754 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature