Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review
Endoscopic management has become an alternate treatment to a revision surgery for colorectal fistulas. Eight patients who were treated by endoscopy for postoperative anastomotic leakage to colorectal cancer were included. A univariate analysis was carried out to determine the predictive factors of s...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-11-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231205716 |
| _version_ | 1827766275175088128 |
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| author | Benayad Aourarh Amine Souadka Mohamed Anass Majbar Amine Benkabbou Amal Chakkor Meriem Bakkar Raouf Mohsine Laila Amrani |
| author_facet | Benayad Aourarh Amine Souadka Mohamed Anass Majbar Amine Benkabbou Amal Chakkor Meriem Bakkar Raouf Mohsine Laila Amrani |
| author_sort | Benayad Aourarh |
| collection | DOAJ |
| description | Endoscopic management has become an alternate treatment to a revision surgery for colorectal fistulas. Eight patients who were treated by endoscopy for postoperative anastomotic leakage to colorectal cancer were included. A univariate analysis was carried out to determine the predictive factors of success. All our patients were treated using metallic clips. The primary efficiency of this technique was 50%. In a univariate analysis, the size of the fistula and its distance from the anal margin had an influence on the efficiency of the endoscopic treatment, which was not the case for either the surgical technique or the use of neoadjuvant radiotherapy. This endoscopic treatment is effective and represents a more secure alternative than revision surgery. In our study, the use of metallic clips showed a 50% success rate, going up to 100% for the group of patients with a fistula ostium of a size ⩽1 cm, proving the necessity of using this technique. |
| first_indexed | 2024-03-11T11:39:20Z |
| format | Article |
| id | doaj.art-286fbb5ceffe4919a50edcb4772c40b7 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-03-11T11:39:20Z |
| publishDate | 2023-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-286fbb5ceffe4919a50edcb4772c40b72023-11-10T06:35:12ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-11-011110.1177/2050313X231205716Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature reviewBenayad AourarhAmine SouadkaMohamed Anass MajbarAmine BenkabbouAmal ChakkorMeriem BakkarRaouf MohsineLaila AmraniEndoscopic management has become an alternate treatment to a revision surgery for colorectal fistulas. Eight patients who were treated by endoscopy for postoperative anastomotic leakage to colorectal cancer were included. A univariate analysis was carried out to determine the predictive factors of success. All our patients were treated using metallic clips. The primary efficiency of this technique was 50%. In a univariate analysis, the size of the fistula and its distance from the anal margin had an influence on the efficiency of the endoscopic treatment, which was not the case for either the surgical technique or the use of neoadjuvant radiotherapy. This endoscopic treatment is effective and represents a more secure alternative than revision surgery. In our study, the use of metallic clips showed a 50% success rate, going up to 100% for the group of patients with a fistula ostium of a size ⩽1 cm, proving the necessity of using this technique.https://doi.org/10.1177/2050313X231205716 |
| spellingShingle | Benayad Aourarh Amine Souadka Mohamed Anass Majbar Amine Benkabbou Amal Chakkor Meriem Bakkar Raouf Mohsine Laila Amrani Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review SAGE Open Medical Case Reports |
| title | Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review |
| title_full | Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review |
| title_fullStr | Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review |
| title_full_unstemmed | Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review |
| title_short | Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review |
| title_sort | endoscopic management of anastomotic leakage after colorectal cancer surgery in a moroccan center a case series and literature review |
| url | https://doi.org/10.1177/2050313X231205716 |
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