Open AccessDIAGNOSIS OF COLORECTAL ANASTOMOSIS FAILURE (review of foreign literature)
Author(s) -
R. V. Senyutovych,
О. І. Іващук,
V. Yu. Bodyaka,
Yu. Ya. Chuprovska
Publication year - 2018
Publication title -
klìnìčna anatomìâ ta operativna hìrurgìâ
Language(s) - English
Resource type - Journals
eISSN - 1993-5897
pISSN - 1727-0847
DOI - 10.24061/1727-0847.17.3.2018.13
Subject(s) - medicine , anastomosis , radiology , complication , drainage , colonoscopy , surgery , colorectal cancer , cancer , biology , ecology
The data about leaks of colorectal anastomosis is presented. Analysis of 25 articles is presented. Method of diagnostics of this complication is computed tomography after contrast enema. Specificity of this method is more than 90%. Endoscopic methods of visualization of leaks were not found to be reasonable. Laboratory examination of drainage exudates is advisable. Different cardiac symptoms appear in 40% of patients. The level of prognostic value is not high; the surgeons predict the possibility of the leaks- sensitivity 62%, specificity – 52%. The analysis of some biological substances in drainage fluid - interleukin, C reactive protein, necrosis tumor factor is indicated. Contrast radiological methods have sensitivity 94-100%. Intraoperative tests with methylene blue are useful for indication to repair anastomosis during operation. Intraoperative colonoscopy is in process of investigation.