Traditional lateral ileostomy versus percutaneous ileostomy by exclusion probe for the protection of extraperitoneal colo-rectal anastomosis: The ALPPI (Anastomotic Leak Prevention by Probe Ileostomy) trial. A randomized controlled trial

Bugiantella, Walter; Rondelli, Fabio; Mariani, L; Boni, Marcello; Tassi, Alberto; Stella, Paolo; Patiti, M.; Ermili, Fabio; Avenia, Nicola; Mariani, E.

doi:10.1016/j.ejso.2013.12.025

Cited by 16 publications

(10 citation statements)

References 23 publications

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“…We do agree with the diagnostic protocol for anastomotic leakage suggested previously . In our study, symptoms of anastomotic leakage were evaluated by digital rectal examination (DRE) and proctoscopy followed by plain abdominal CT scan.…”

supporting

confidence: 69%

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Zhou

Chen

2014

Colorectal Disease

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supporting

confidence: 69%

Reply to Bugiantella et al.

Zhou

Chen

2014

Colorectal Disease

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“…The exact timing of tube removal ranged from 7 days postoperatively to over 3 weeks. The main aim of the tube was to exclude faecal material from the anastomosis, and several of the authors described the time to faecal passage per anum as the protective period of the tube ileostomy [28,30].…”

Section: Nonrandomized Comparative Studiesmentioning

confidence: 99%

Tube ileostomy for faecal diversion in elective distal colorectal anastomosis: a systematic review and pooled analysis

et al. 2015

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“…Th e use of protective ileostomy was not found to yield statistically signifi cant benefi ts. Th is has proved its superiority for low colorectal anastomosis by decreasing the frequency of fi stulas and reducing the number of reinterventions and adverse consequences in the event of such complications [9,10,11]. Other methods mentioned in the literature to reduce the incidence of anastomotic dehiscence are the use of biological tissue glue, fi rst mentioned by Collet and Rabaud in 1992 as a method of treatment of digestive fi stulas, showing its eff ectiveness in increasing resistance of digestive sutures [12,13].…”

Section: Discussionmentioning

confidence: 99%

Anastomotic Leaks after Colorectal Surgery: a Prognostic Score

Alexandra¹,

Mironiuc²

2014

Acta Medica Marisiensis

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Introduction: Anastomotic leaks are one of the most dreaded complications in colorectal surgery. At the ground of this problem remain the nefarious prognostic over the patient’s life, the difficulties in early diagnosis and the optimal choice of therapeutical methods. The goal of our research was to evaluate the significance of possible risk factors in the postoperative evolution of patients following colorectal interventions and to design a prognostic score. Material and methods: We performed a retrospective study on 298 cases of patients with inflammatory, neoplastic or traumatic lesions for which there was chosen a digestive anastomosis including the colon. The presumed risk factors in our analysis were: age, comorbidity evaluated by Charlson Score, etiology, toxics, use of nonsteroidal anti-inflammatory substances or corticoids, parameters such as leucocytes, hemoglobin, urea, total seric bilirubin, glycaemia, albumins, neoadjuvant therapy, type of suture, quantity of fluids received intraoperatory. All data were analyzed using R-Commander. Results: All parameters for which we demonstrated a statistical significance (p <0.05) for an unfavorable evolution were included in a prognostic score, designed in correlation with the statistical relation between the factors. We obtained values that certified a strong association (0.75) between a high prognostic score and an increased number of anastomotic leaks. Conclusions: The practical utility of the score is mainly for the anticipation of postoperative complications. A high level score underlines that prior to surgery it is essential to balance the biochemical abnormalities and to choose properly the moment and type of surgical intervention

show abstract

Traditional lateral ileostomy versus percutaneous ileostomy by exclusion probe for the protection of extraperitoneal colo-rectal anastomosis: The ALPPI (Anastomotic Leak Prevention by Probe Ileostomy) trial. A randomized controlled trial

Cited by 16 publications

References 23 publications

Reply to Bugiantella et al.

Reply to Bugiantella et al.

Tube ileostomy for faecal diversion in elective distal colorectal anastomosis: a systematic review and pooled analysis

Anastomotic Leaks after Colorectal Surgery: a Prognostic Score

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