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Radiological findings in anastomotic leakage after anterior resection may predict a permanent stoma

Jutesten, Henrik LU ; Lydrup, Marie-Louise LU ; Landberg, Axel ; Risberg, Daniel ; Ekberg, Olle LU ; Zackrisson, Sophia LU and Buchwald, Pamela LU (2020) In Acta Radiologica Open 9(1).
Abstract

Background: Permanent stoma (PS) is common following treatment of anastomotic leakage (AL) after anterior resection (AR) and ways of predicting successful treatment outcome are missing.

Purpose: To explore radiological variables in rectal contrast studies in their relation to end-result of PS following treatment for AL after AR.

Material and Methods: The Swedish Cancer Registry (SCRCR) was explored for AL cases after AR for rectal cancer in patients operated in the region of Skåne from 1 January 2001 to 31 December 2011. Among identified AL cases, patients subjected to radiological imaging consistent with AL were evaluated according to a predetermined set of radiological variables. Information of PS as the end-result after... (More)

Background: Permanent stoma (PS) is common following treatment of anastomotic leakage (AL) after anterior resection (AR) and ways of predicting successful treatment outcome are missing.

Purpose: To explore radiological variables in rectal contrast studies in their relation to end-result of PS following treatment for AL after AR.

Material and Methods: The Swedish Cancer Registry (SCRCR) was explored for AL cases after AR for rectal cancer in patients operated in the region of Skåne from 1 January 2001 to 31 December 2011. Among identified AL cases, patients subjected to radiological imaging consistent with AL were evaluated according to a predetermined set of radiological variables. Information of PS as the end-result after AL treatment were retrieved from medical records.

Results: Thirty-two patients had radiological imaging available for analysis confirming AL after AR; PS rate after a median follow-up of 87 months (range = 21-165) after AR was 62%. Radiological findings compatible with abscess (P = 0.023) and a leak size ≤6 mm (P = 0.049) were significantly associated with PS.

Conclusion: In this limited explorative study, our findings suggest that abscess status and leak size could correspond to outcome of PS in treatment for AL after AR. Additional studies are warranted to further explore this subject.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Radiologica Open
volume
9
issue
1
article number
2058460119897358
publisher
SAGE Publications
external identifiers
  • pmid:31934352
ISSN
2058-4601
DOI
10.1177/2058460119897358
language
English
LU publication?
yes
additional info
© The Foundation Acta Radiologica 2020.
id
371e0810-4481-48b6-91f5-338d85d65601
date added to LUP
2021-12-29 11:57:54
date last changed
2022-08-05 08:19:06
@article{371e0810-4481-48b6-91f5-338d85d65601,
  abstract     = {{<p>Background: Permanent stoma (PS) is common following treatment of anastomotic leakage (AL) after anterior resection (AR) and ways of predicting successful treatment outcome are missing.</p><p>Purpose: To explore radiological variables in rectal contrast studies in their relation to end-result of PS following treatment for AL after AR.</p><p>Material and Methods: The Swedish Cancer Registry (SCRCR) was explored for AL cases after AR for rectal cancer in patients operated in the region of Skåne from 1 January 2001 to 31 December 2011. Among identified AL cases, patients subjected to radiological imaging consistent with AL were evaluated according to a predetermined set of radiological variables. Information of PS as the end-result after AL treatment were retrieved from medical records.</p><p>Results: Thirty-two patients had radiological imaging available for analysis confirming AL after AR; PS rate after a median follow-up of 87 months (range = 21-165) after AR was 62%. Radiological findings compatible with abscess (P = 0.023) and a leak size ≤6 mm (P = 0.049) were significantly associated with PS.</p><p>Conclusion: In this limited explorative study, our findings suggest that abscess status and leak size could correspond to outcome of PS in treatment for AL after AR. Additional studies are warranted to further explore this subject.</p>}},
  author       = {{Jutesten, Henrik and Lydrup, Marie-Louise and Landberg, Axel and Risberg, Daniel and Ekberg, Olle and Zackrisson, Sophia and Buchwald, Pamela}},
  issn         = {{2058-4601}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{SAGE Publications}},
  series       = {{Acta Radiologica Open}},
  title        = {{Radiological findings in anastomotic leakage after anterior resection may predict a permanent stoma}},
  url          = {{http://dx.doi.org/10.1177/2058460119897358}},
  doi          = {{10.1177/2058460119897358}},
  volume       = {{9}},
  year         = {{2020}},
}