Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis

Anastomotic leakage is a dreaded complication of gastrointestinal surgery. The complication is difficult to manage and is associated with prolonged hospitalizations and increased morbidity and mortality. We present the nonsurgical management and the use of a fibrin sealant for an anastomotic leak th...

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Main Authors:	DeStephano, Christopher C., Paz-Fumagalli, Ricardo, Pettit, Paul D.
Format:	Online
Language:	English
Published:	Oxford University Press 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855210/

id	pubmed-4855210
recordtype	oai_dc
spelling	pubmed-48552102016-05-05 Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis DeStephano, Christopher C. Paz-Fumagalli, Ricardo Pettit, Paul D. Case Report Anastomotic leakage is a dreaded complication of gastrointestinal surgery. The complication is difficult to manage and is associated with prolonged hospitalizations and increased morbidity and mortality. We present the nonsurgical management and the use of a fibrin sealant for an anastomotic leak that followed rectosigmoid resection and anastomosis for Stage IV endometriosis. This approach requires a clinically stable patient who is willing to follow-up over a prolonged period of time until the leak is completely sealed. Tissue sealants can be considered when an air leak or fistulous tract persists despite drainage and antibiotics. Oxford University Press 2016-05-03 /pmc/articles/PMC4855210/ /pubmed/27147717 http://dx.doi.org/10.1093/jscr/rjw066 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	DeStephano, Christopher C. Paz-Fumagalli, Ricardo Pettit, Paul D.
spellingShingle	DeStephano, Christopher C. Paz-Fumagalli, Ricardo Pettit, Paul D. Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis
author_facet	DeStephano, Christopher C. Paz-Fumagalli, Ricardo Pettit, Paul D.
author_sort	DeStephano, Christopher C.
title	Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis
title_short	Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis
title_full	Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis
title_fullStr	Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis
title_full_unstemmed	Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis
title_sort	nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for stage iv endometriosis
description	Anastomotic leakage is a dreaded complication of gastrointestinal surgery. The complication is difficult to manage and is associated with prolonged hospitalizations and increased morbidity and mortality. We present the nonsurgical management and the use of a fibrin sealant for an anastomotic leak that followed rectosigmoid resection and anastomosis for Stage IV endometriosis. This approach requires a clinically stable patient who is willing to follow-up over a prolonged period of time until the leak is completely sealed. Tissue sealants can be considered when an air leak or fistulous tract persists despite drainage and antibiotics.
publisher	Oxford University Press
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4855210/
_version_	1613574873254199296

Nonoperative management of an anastomotic leak following rectosigmoid resection and anastomosis for Stage IV endometriosis

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