Document Detail

Intracolonic bypass by an intraluminal tube. An experimental study.
MedLine Citation:
PMID:  6734359     Owner:  NLM     Status:  MEDLINE    
The most important cause of morbidity and mortality in colonic resection remains anastomotic leakage and, to this end, temporary stomas, with their own incidence of mortality or morbidity, are often created. Problems associated with both anastomosis and stoma can be prevented with the use of an internal bypass tube. This tube is implanted in the proximal colon above the proposed anastomotic site, then passed distally to the rectal ampulla, following which, the proximal and distal colonic segments are anastomosed. The fecal stream and gastrointestinal secretions are there by prevented from coming in contact with the anastomotic site. The tube is expelled spontaneously after a varying time. The anastomoses in the experimental animals were subjected to maximal stress. Additionally, large dehiscences and induced fecal peritonitis were purposefully created in some animals. Results demonstrated that the intracolonic bypass tube prevents leakage even from gross dehiscences and that these dehiscences progress to complete healing. The experimental study leading to its clinical adaptation is presented.
B Ravo; R Ger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  27     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-08-13     Completed Date:  1984-08-13     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  360-5     Citation Subset:  IM    
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MeSH Terms
Colon / pathology,  surgery*
Intestinal Mucosa / pathology
Intubation / methods*
Postoperative Complications
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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