E Barzola, P Planellas, N Torres-Acevedo, R Bergamaschi
{"title":"Perioperative assessment of colorectal anastomoses with flexible endoscopy.","authors":"E Barzola, P Planellas, N Torres-Acevedo, R Bergamaschi","doi":"10.1007/s13304-024-02046-4","DOIUrl":null,"url":null,"abstract":"<p><p>Flexible sigmoidoscopy has emerged as a vital tool for the purpose of assessing colorectal anastomoses: a procedure that can play a crucial role in reducing postoperative complications. The present technical note aims at describing a comprehensive strategy for the perioperative evaluation of colorectal anastomoses integrity. An endoscopic grading system is utilized to categorize findings, ensuring consistency and external validity. Postoperative flexible sigmoidoscopy can evaluate anastomotic integrity using a classification system, thereby facilitating informed decision-making and enabling targeted local treatment options. Additionally, flexible sigmoidoscopy can be carried out post-discharge from the hospital for further assessment of late-onset anastomotic leakage. While a consensus on the utility of flexible sigmoidoscopy is yet to be established, its potential to improve surgical decision-making is evident.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Updates in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13304-024-02046-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Flexible sigmoidoscopy has emerged as a vital tool for the purpose of assessing colorectal anastomoses: a procedure that can play a crucial role in reducing postoperative complications. The present technical note aims at describing a comprehensive strategy for the perioperative evaluation of colorectal anastomoses integrity. An endoscopic grading system is utilized to categorize findings, ensuring consistency and external validity. Postoperative flexible sigmoidoscopy can evaluate anastomotic integrity using a classification system, thereby facilitating informed decision-making and enabling targeted local treatment options. Additionally, flexible sigmoidoscopy can be carried out post-discharge from the hospital for further assessment of late-onset anastomotic leakage. While a consensus on the utility of flexible sigmoidoscopy is yet to be established, its potential to improve surgical decision-making is evident.
期刊介绍:
Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future.
Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts.
Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.