Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment

Benedek, Zalan; Nicolae, Suciu; Ghenadie, Pascarenco; Ofelia, Pascarenco; Sorin, Sorlea; Orsolya, Bauer; Cristina, Veliche; Marius, Coros

Zalan Benedek, Suciu Nicolae, Pascarenco Ghenadie, Pascarenco Ofelia, Sorlea Sorin, Bauer Orsolya, Veliche Cristina, Coros Marius

Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment

Abstract:

The aim of the study was to highlight the incidence of anastomotic stenoses in mechanical colorectal anastomosis associated with colorectal cancer, as well as the risk factors and treatment options. We performed a retrospective evaluation of 203 patients who underwent mechanical colorectal anastomosis associated with colorectal cancer. Several factors related to the patients were analysed as the tumour and the treatment applied. A telephone survey was used, and symptomatic patients were examined endoscopically. The results underwent statistical analysis. A percentage of 37.44% of the patients have reported motility disorders. Stenosis was found in 7 (3.44%) patients. It was defined as the narrowing of the lumen that cannot be pass through with a 12 mm endoscope. Gender, tumour and anastomosis relation to the anal verge, anaemia and perioperative radiation therapy had no statistically significant importance. We have found a statistically significant correlation (P[0.05) for age under 60 years, obesity, tumour perforation and protective ileostomy. Patients were treated by rectal digital or pneumatic dilation and radial incisions. The results were favorable, only one case needed surgical intervention and recreating the anastomoses. Colorectal anastomotic stenosis is a late postoperative complication which influences the patients life quality. By being aware of the prognostic factors of this complication, we would be able to take preventive measures. Our results suggest that age under 60 years, obesity, tumour complication by perforation and protective ileostomy could be statistically significant factors for anastomotic stenoses. Surgical treatment must be reserved for refractory cases, and reanastomosis could be affected by greater risks than in the initial surgery.

Keywords:
colorectal anastomosis; stenosis; stricture; cancer

Issue: 2020, Volume 71, Issue 3

Pages: 450-459

Publication date: 2020/4/3

https://doi.org/10.37358/RC.21.3.8019

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
BENEDEK, Z., NICOLAE, S., GHENADIE, P., OFELIA, P., SORIN, S., ORSOLYA, B., CRISTINA, V., MARIUS, C., Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment, Rev. Chim., 71(3), 2020, 450-459.

Vancouver
Benedek Z, Nicolae S, Ghenadie P, Ofelia P, Sorin S, Orsolya B, Cristina V, Marius C. Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment. Rev. Chim.[internet]. 2020 Mar;71(3):450-459. Available from: https://doi.org/10.37358/RC.21.3.8019

APA 6th edition
Benedek, Z., Nicolae, S., Ghenadie, P., Ofelia, P., Sorin, S., Orsolya, B., Cristina, V. & Marius, C. (2020). Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment. Revista de Chimie, 71(3), 450-459. https://doi.org/10.37358/RC.21.3.8019

Harvard
Benedek, Z., Nicolae, S., Ghenadie, P., Ofelia, P., Sorin, S., Orsolya, B., Cristina, V., Marius, C. (2020). 'Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment', Revista de Chimie, 71(3), pp. 450-459. https://doi.org/10.37358/RC.21.3.8019

IEEE
Z. Benedek, S. Nicolae, P. Ghenadie, P. Ofelia, S. Sorin, B. Orsolya, V. Cristina, C. Marius, "Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment". Revista de Chimie, vol. 71, no. 3, pp. 450-459, 2020. [online]. https://doi.org/10.37358/RC.21.3.8019

Text
Zalan Benedek, Suciu Nicolae, Pascarenco Ghenadie, Pascarenco Ofelia, Sorlea Sorin, Bauer Orsolya, Veliche Cristina, Coros Marius,
Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment,
Revista de Chimie,
Volume 71, Issue 3,
2020,
Pages 450-459,
ISSN 2668-8212,
https://doi.org/10.37358/RC.21.3.8019.
(https://revistadechimie.ro/Articles.asp?ID=8019)
Keywords: colorectal anastomosis; stenosis; stricture; cancer

RIS
TY - JOUR
T1 - Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment
A1 - Benedek, Zalan
A2 - Nicolae, Suciu
A3 - Ghenadie, Pascarenco
A4 - Ofelia, Pascarenco
A5 - Sorin, Sorlea
A6 - Orsolya, Bauer
A7 - Cristina, Veliche
A8 - Marius, Coros
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2020
VL - 71
IS - 3
SP - 450
EP - 459
UR - https://doi.org/10.37358/RC.21.3.8019
KW - colorectal anastomosis
KW - stenosis
KW - stricture
KW - cancer
ER -

BibTex
@article{RevCh2020P450,
author = {Benedek Zalan and Nicolae Suciu and Ghenadie Pascarenco and Ofelia Pascarenco and Sorin Sorlea and Orsolya Bauer and Cristina Veliche and Marius Coros},
title = {Stenosis of Mechanical Colorectal Anastomosis - Risk Factors, Treatment},
journal = {Revista de Chimie},
volume = {71},
number = {3},
pages = {450-459},
year = {2020},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.21.3.8019},
url = {https://revistadechimie.ro/Articles.asp?ID=8019}
}

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