Document Detail


Recurrent abscess after primary successful endo-sponge treatment of anastomotic leakage following rectal surgery.
MedLine Citation:
PMID:  20857528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To assess long-term efficacy of initially successful endo-sponge assisted therapy.
METHODS: Between 2006 and 2009, consecutive patients who had undergone primary successful endo-sponge treatment of anastomotic leakage following rectal cancer surgery were enrolled in the study. Patients were recruited from 6 surgical departments in Vienna. Clinical and oncologic outcomes were assessed through routine endoscopic and radiologic follow-up examination.
RESULTS: Twenty patients (7 female, 13 male) were included. The indications for endo-sponge treatment were anastomotic leakage (n = 17) and insufficiency of a rectal stump after Hartmann's procedure (n = 3). All patients were primarily operated for rectal cancer. The overall mortality rate was 25%. The median follow-up duration was 17 mo (range 1.5-29.8 mo). Five patients (25%) developed a recurrent abscess. Median time between last day of endo-sponge therapy and occurrence of recurrent abscess was 255 d (range 21-733 d). One of these patients was treated by computed tomography-guided drainage and in 3 patients Hartmann's procedure had to be performed. Two patients (10%) developed a local tumor recurrence and subsequently died.
CONCLUSION: Despite successful primary outcome, patients who receive endo-sponge therapy should be closely monitored in the first 2 years, since recurrence might occur.
Authors:
Stefan Riss; Anton Stift; Caroline Kienbacher; Bernhard Dauser; Ingrid Haunold; Stefan Kriwanek; Wolfgang Radlsboek; Michael Bergmann
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-21     Completed Date:  2011-01-28     Revised Date:  2013-05-27    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  4570-4     Citation Subset:  IM    
Affiliation:
Division of General Surgery, Department of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria. stefan.riss@meduniwien.ac.at
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MeSH Terms
Descriptor/Qualifier:
Abscess / etiology*,  prevention & control
Aged
Aged, 80 and over
Anastomosis, Surgical / adverse effects*
Anastomotic Leak / mortality,  surgery*
Female
Humans
Male
Middle Aged
Rectal Neoplasms / surgery*
Rectum / surgery*
Recurrence
Retrospective Studies
Surgical Sponges*
Treatment Outcome
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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