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Long-term Outcomes of Endoscopic Vacuum Therapy and Transanal Drainage for Anastomotic Leakage After Anterior Resection

Munshi, Eihab LU ; Dahlbäck, Cecilia LU ; Johansson, Salle ; Lydrup, Marie Louise LU ; Jutesten, Henrik LU and Buchwald, Pamela LU (2022) In In Vivo 36(5). p.2275-2278
Abstract

Background/Aim: Anastomotic leakage (AL) after anterior resection for rectal cancer occurs in up to 26% of patients. In the last decade, endoscopic vacuum therapy (EVT) has gained interest as a treatment option for AL. This study aimed to compare the clinical success rate of EVT versus transanal drainage (TD) in AL treatment and investigate whether the frequency of bowel continuity differed. Patients and Methods: Patients treated for rectal cancer at the Skåne University Hospital, Sweden between 2009-2018 were identified through the Swedish Colorectal Cancer Registry (SCRCR). Patient characteristics, operative and AL data were retrieved by SCRCR and chart review. Results: Out of 1,095 patients subjected to rectal cancer surgery, 361... (More)

Background/Aim: Anastomotic leakage (AL) after anterior resection for rectal cancer occurs in up to 26% of patients. In the last decade, endoscopic vacuum therapy (EVT) has gained interest as a treatment option for AL. This study aimed to compare the clinical success rate of EVT versus transanal drainage (TD) in AL treatment and investigate whether the frequency of bowel continuity differed. Patients and Methods: Patients treated for rectal cancer at the Skåne University Hospital, Sweden between 2009-2018 were identified through the Swedish Colorectal Cancer Registry (SCRCR). Patient characteristics, operative and AL data were retrieved by SCRCR and chart review. Results: Out of 1,095 patients subjected to rectal cancer surgery, 361 patients had undergone anterior resection. AL occurred in 39 patients, of these 14 patients were treated with EVT and 17 with TD. Bowel continuity was achieved in 50% of patients treated with EVT and 65% of patients treated with TD (p=0.28). The patients were under treatment for a median period of 24.5 days (IQR=11-36 days) when treated with EVT and 37 days (IQR=17-51 days) with TD. Conclusion: No superiority of EVT treatment could be shown in restoring bowel continuity. This questions the role of EVT in AL treatment after anterior resection.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anastomotic leakage, anterior resection, endoscopic vacuum therapy, Rectal cancer, transanal drainage
in
In Vivo
volume
36
issue
5
pages
4 pages
publisher
In vivo
external identifiers
  • pmid:36099137
  • scopus:85138448132
ISSN
0258-851X
DOI
10.21873/invivo.12956
language
English
LU publication?
yes
id
0372f877-6968-41f6-964c-b8490dcab7bb
date added to LUP
2023-01-20 08:37:56
date last changed
2024-04-18 18:15:47
@article{0372f877-6968-41f6-964c-b8490dcab7bb,
  abstract     = {{<p>Background/Aim: Anastomotic leakage (AL) after anterior resection for rectal cancer occurs in up to 26% of patients. In the last decade, endoscopic vacuum therapy (EVT) has gained interest as a treatment option for AL. This study aimed to compare the clinical success rate of EVT versus transanal drainage (TD) in AL treatment and investigate whether the frequency of bowel continuity differed. Patients and Methods: Patients treated for rectal cancer at the Skåne University Hospital, Sweden between 2009-2018 were identified through the Swedish Colorectal Cancer Registry (SCRCR). Patient characteristics, operative and AL data were retrieved by SCRCR and chart review. Results: Out of 1,095 patients subjected to rectal cancer surgery, 361 patients had undergone anterior resection. AL occurred in 39 patients, of these 14 patients were treated with EVT and 17 with TD. Bowel continuity was achieved in 50% of patients treated with EVT and 65% of patients treated with TD (p=0.28). The patients were under treatment for a median period of 24.5 days (IQR=11-36 days) when treated with EVT and 37 days (IQR=17-51 days) with TD. Conclusion: No superiority of EVT treatment could be shown in restoring bowel continuity. This questions the role of EVT in AL treatment after anterior resection.</p>}},
  author       = {{Munshi, Eihab and Dahlbäck, Cecilia and Johansson, Salle and Lydrup, Marie Louise and Jutesten, Henrik and Buchwald, Pamela}},
  issn         = {{0258-851X}},
  keywords     = {{anastomotic leakage; anterior resection; endoscopic vacuum therapy; Rectal cancer; transanal drainage}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{2275--2278}},
  publisher    = {{In vivo}},
  series       = {{In Vivo}},
  title        = {{Long-term Outcomes of Endoscopic Vacuum Therapy and Transanal Drainage for Anastomotic Leakage After Anterior Resection}},
  url          = {{http://dx.doi.org/10.21873/invivo.12956}},
  doi          = {{10.21873/invivo.12956}},
  volume       = {{36}},
  year         = {{2022}},
}