A CASE OF FECAL ILEUS CAUSED BY FECAL IMPACTION IN THE INTESTINE AT THE ANAL SIDE OF A FUNCTIONAL END-TO-END ANASTOMOTIC SITE

The problem of size discrepancy between vessels during microvascular procedures is well known. Inability to successfully overcome this problem can lead to turbulent flow at the anastomotic site with consequent thrombosis. Various techniques have been described to overcome this problem. We describe two techniques that have been used for over two decades in our institution. Both these techniques enable the surgeon to overcome far more significant size mismatches than other available techniques while still allowing for end-to-end anastomosis.

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Surgical Recurrence at Anastomotic Site After Bowel Resection in Crohn’s Disease: Comparison of Kono-S and End-to-end Anastomosis

Journal of Gastrointestinal Surgery ◽

10.1007/s11605-018-4012-6 ◽

2018 ◽

Vol 23 (2) ◽

pp. 312-319 ◽

Cited By ~ 16

Author(s):

Norimitsu Shimada ◽

Hiroki Ohge ◽

Toru Kono ◽

Ayumu Sugitani ◽

Raita Yano ◽

...

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Bowel Resection ◽

Anastomotic Site ◽

Surgical Recurrence ◽

End To End

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Techniques for Avoiding Saccular Extended Obstruction at the Anastomotic Site of Functional End-to-End Anastomosis

Surgical Science ◽

10.4236/ss.2017.87033 ◽

2017 ◽

Vol 08 (07) ◽

pp. 305-311

Author(s):

Koichi Yoshida ◽

Kenichi Ietsugu ◽

Jyunpei Okamoto ◽

Saki Hayashi ◽

Yoshihide Asaumi ◽

...

Keyword(s):

Anastomotic Site ◽

End To End

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Ischemic proctitis 6 months after laparoscopic sigmoidectomy: a case report

Surgical Case Reports ◽

10.1186/s40792-021-01133-7 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Takuto Yoshida ◽

Nobuki Ichikawa ◽

Shigenori Homma ◽

Tadashi Yoshida ◽

Shin Emoto ◽

...

Keyword(s):

Sigmoid Colon Cancer ◽

Common Disease ◽

Anastomotic Site ◽

Pathological Stage ◽

Case Presentation ◽

Laparoscopic Sigmoidectomy ◽

Bloody Stools ◽

Anal Side ◽

Ischemic Proctitis

Abstract Background Ischemic colitis is a common disease; however, its pathophysiology remains unclear, especially in ischemic proctitis after sigmoidectomy. We present a rare case of ischemic proctitis 6 months after laparoscopic sigmoidectomy. Case presentation The patient was a 60-year-old man with hypertension, type 2 diabetes, and hyperlipidemia. He was a smoker. He underwent laparoscopic sigmoidectomy for pathological stage I sigmoid colon cancer and was followed up without any adjuvant therapy. Six months after his surgery, he complained of lower abdominal discomfort, bloody stools, and tenesmus. Colonoscopy showed extensive rectal ulcers between the anastomotic site and the anal canal, which was particularly severe on the anal side several centimeters beyond the anastomosis. We provided non-surgical management, including hyperbaric oxygen therapy. The rectal ulcers had healed 48 days after the therapeutic intervention. He has not experienced any recurrence for 3.5 years. Conclusions While performing sigmoidectomy, it is important to consider the blood backflow from the anal side of the bowel carefully, especially for patients with risk factors of ischemic proctitis.

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Growth of the end-to-end anastomotic site in coarctation of the aorta.

The Keio Journal of Medicine ◽

10.2302/kjm.37.379 ◽

1988 ◽

Vol 37 (4) ◽

pp. 379-385

Author(s):

Yasuhiro Soma ◽

Kozo Kawada ◽

Tadashi Inoue

Keyword(s):

Coarctation Of The Aorta ◽

Anastomotic Site ◽

End To End

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A Case of Blind Loop Syndrome in the Functional End-to-end Anastomotic Site of Laparoscopic Surgery

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.76.2735 ◽

2015 ◽

Vol 76 (11) ◽

pp. 2735-2739 ◽

Cited By ~ 1

Author(s):

Yuta SATO ◽

Yoshito KUROKI ◽

Hiroshi KUDO ◽

Hirokatsu HAYASHI

Keyword(s):

Laparoscopic Surgery ◽

Blind Loop ◽

Anastomotic Site ◽

Blind Loop Syndrome ◽

End To End

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Delayed bleeding from anastomotic site after the stapled functional end-to-end anastomosis for small intestinal reconstruction. A case report.

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.63.392 ◽

2002 ◽

Vol 63 (2) ◽

pp. 392-394

Author(s):

Kazuhiro HIRAMATSU ◽

Takamasa NAGASHIMA ◽

Yasunobu MIZUKAMI ◽

Masahiko HASEGAWA ◽

Yukikazu ITO ◽

...

Keyword(s):

Case Report ◽

Anastomotic Site ◽

Delayed Bleeding ◽

Small Intestinal ◽

End To End

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Surgical management of extracranial carotid artery aneurysms

VASA ◽

10.1024/0301-1526/a000528 ◽

2016 ◽

Vol 45 (3) ◽

pp. 223-228 ◽

Cited By ~ 2

Author(s):

Jan Paweł Skóra ◽

Jacek Kurcz ◽

Krzysztof Korta ◽

Przemysław Szyber ◽

Tadeusz Andrzej Dorobisz ◽

...

Keyword(s):

Carotid Artery ◽

Surgical Management ◽

Minor Stroke ◽

Stroke Rate ◽

Extracranial Carotid Artery ◽

Long Term Follow Up ◽

End To End ◽

Dacron Patch ◽

Major Stroke

Abstract. Background: We present the methods and results of the surgical management of extracranial carotid artery aneurysms (ECCA). Postoperative complications including early and late neurological events were analysed. Correlation between reconstruction techniques and morphology of ECCA was assessed in this retrospective study. Patients and methods: In total, 32 reconstructions of ECCA were performed in 31 symptomatic patients with a mean age of 59.2 (range 33 - 84) years. The causes of ECCA were divided among atherosclerosis (n = 25; 78.1 %), previous carotid endarterectomy with Dacron patch (n = 4; 12.5 %), iatrogenic injury (n = 2; 6.3 %) and infection (n = 1; 3.1 %). In 23 cases, intervention consisted of carotid bypass. Aneurysmectomy with end-to-end suture was performed in 4 cases. Aneurysmal resection with patching was done in 2 cases and aneurysmorrhaphy without patching in another 2 cases. In 1 case, ligature of the internal carotid artery (ICA) was required. Results: Technical success defined as the preservation of ICA patency was achieved in 31 cases (96.9 %). There was one perioperative death due to major stroke (3.1 %). Two cases of minor stroke occurred in the 30-day observation period (6.3 %). Three patients had a transient hypoglossal nerve palsy that subsided spontaneously (9.4 %). At a mean long-term follow-up of 68 months, there were no major or minor ipsilateral strokes or surgery-related deaths reported. In all 30 surviving patients (96.9 %), long-term clinical outcomes were free from ipsilateral neurological symptoms. Conclusions: Open surgery is a relatively safe method in the therapy of ECCA. Surgical repair of ECCAs can be associated with an acceptable major stroke rate and moderate minor stroke rate. Complication-free long-term outcomes can be achieved in as many as 96.9 % of patients. Aneurysmectomy with end-to-end anastomosis or bypass surgery can be implemented during open repair of ECCA.

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Reliability of the Mangled Extremity Severity Score in the Management of Peripheral Vascular Injuries in Children: A Retrospective Review

International Journal of Angiology ◽

10.1055/s-0040-1720970 ◽

2020 ◽

Author(s):

Ahmed Mousa ◽

Ossama M. Zakaria ◽

Mai A. Elkalla ◽

Lotfy A. Abdelsattar ◽

Hamad Al-Game'a

Keyword(s):

Severity Score ◽

Vein Graft ◽

Bypass Surgery ◽

Age Groups ◽

Vascular Injuries ◽

Peripheral Vascular ◽

Group Iii ◽

Mangled Extremity ◽

Group I ◽

End To End

AbstractThis study was aimed to evaluate different management modalities for peripheral vascular trauma in children, with the aid of the Mangled Extremity Severity Score (MESS). A single-center retrospective analysis took place between 2010 and 2017 at University Hospitals, having emergencies and critical care centers. Different types of vascular repair were adopted by skillful vascular experts and highly trained pediatric surgeons. Patients were divided into three different age groups. Group I included those children between 5 and 10 years; group II involved pediatrics between 11 and 15 years; while children between 16 and 21 years participated in group III. We recruited 183 children with peripheral vascular injuries. They were 87% males and 13% females, with the mean age of 14.72 ± 04. Arteriorrhaphy was performed in 32%; end-to-end anastomosis and natural vein graft were adopted in 40.5 and 49%, respectively. On the other hand, 10.5% underwent bypass surgery. The age groups I and II are highly susceptible to penetrating trauma (p = 0.001), while patients with an extreme age (i.e., group III) are more susceptible to blunt injury (p = 0.001). The MESS has a significant correlation to both age groups I and II (p = 0.001). Vein patch angioplasty and end-to-end primary repair should be adopted as the main treatment options for the repair of extremity vascular injuries in children. Moreover, other treatment modalities, such as repair with autologous vein graft/bypass surgery, may be adopted whenever possible. They are cost-effective, reliable, and simple techniques with fewer postoperative complication, especially in poor/limited resources.

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