Progress of diagnosis and treatment of colorectal surgery postoperative anastomotic hemorrhage

doi:10.3877/cma.j.issn.2095-3224.2014.05.05

Abstract

Abstract:

Anastomotic hemorrhage after colorectal surgery is a serious complication, patients may present with hemorrhagic shock and even life-threatening disorders without proper and prompt treatment, so colorectal surgeons should pay attention to it.This article summarized the incidence rate, risk factors and preventive measure of colorectal surgery anastomotic hemorrhage, and also discussed the various treatment indications and characteristics.

Key words: Colorectal surgery, Surgical stomas, Hemorrhage, Progress

Hao WANG, Quan-quan ZHAO. Progress of diagnosis and treatment of colorectal surgery postoperative anastomotic hemorrhage[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2014, 03(05): 335-337.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2014.05.05

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2014/V03/I05/335

References 11

[1]	Dietz D W,Postoperative Complications,Beck DE, et al.The ascrs textbook of colon and rectal surgery, 2nd ed.New York：Springer-Verlag, 2011: 147-163.
[2]	傅传刚,郝立强. 低位直肠癌保肛术后吻合口漏于狭窄原因及治疗. 中华实用外科杂志, 2014, 34(09): 851-854.
[3]	Cirocco WC,Golub RW.Endoscopic treatment of postoperative hemorrhage from a stapled colorectal anastomosis.Am Surg, 1995, 61(5): 460-463.
[4]	Martinez-Serrano MA.Management of lower gastrointestinal bleeding after colorectal resection and stapled anastomosis.Tech Colonroctol, 2009, 13(1): 49-53.
[5]	王锡山. 低位及超低位吻合保肛手术及功能评价. 中华胃肠外科杂志, 2011, 14(1): 19-20.
[6]	傅传刚,王颢. 直肠拖出切除吻合术在低位直肠癌治疗中的应用. 中国实用外科杂志, 2009, 29(4): 367-368.
[7]	Kuo LJ,Hung CS,Wang W, et al.Intersphincteric resection for very low rectal cancer：clinical outcomes of open versus laparoscopic approachand multidimensional analysis of the learning curve for laparoscopic surgery.J Surg Res, 2013, 183(2): 524-530.
[8]	Fu CG,Gao XH,Wang H, et al.Treatment for early ultralow rectal cancer：pull-through intersphincteric stapled transection an anastomosis(PISTA)versus low anterior resection.Tech Coloproctol, 2013, 17(3): 283-291.
[9]	Golda T,Zerpa C,Kreisler E, et al.Incidence and management of anastomotic bleeding after ileocolic anastomosis.Colorectal Disease, 2013, 15(10): 1301-1308.
[10]	Li VKM,Wexner SD,Pulido N, et al.Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery：can it further avoid anastomotic failure? Surg Endosc, 2009, 23(11): 2459-2465.
[11]	Davis B,Rivadeneira DE.Complications of colorectal anastomoses, leaks, strictures, and bleeding.Surg Clin N Am, 2013, 93(1): 61-87.

[1]	Mengling Zhou, Zhiwei Xue, Shu Zhou. Changes in size of uterine myoma during pregnancy and its association with adverse pregnancy outcomes [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 611-615.
[2]	Qian Yang, Cuifang Li, Wanqiu Zhang. Analysis of short-term and long-term prognosis and influencing factors of primary liver cancer with spontaneous ruptured hemorrhage after emergency TACE surgery [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 33-36.
[3]	Hang Chen, Xiang Min. Clinical analysis and countermeasures of 12 cases of hemorrhage after daytime thyroidectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 600-602.
[4]	Colorectal Cancer Professional Committee, Chinese Medical Doctor Association, Colorectal Cancer Professional Committee, Chinese Anti-Cancer Association, Colorectal Cancer Branch, Beijing Association of Holistic Integrative Medicine. Chinese expert consensus on applying indocyanine green near infrared fluorescence imaging technique to evaluate anastomotic blood supply during laparoscopic colorectal surgery(2023 edition) [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 441-447.
[5]	Bing Lan, Huaiming Wang, Hui Wang, Bo Ma. Research progress on locally advanced colon cancer with bladder invasion [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 505-511.
[6]	Jianming Zhang, Wenhui Ye, Tingyu Mou, Xiaoliang Lan, Haijun Deng. To analyze the recent complications of laparoscopic proctocolectomy ileal j-pouch anal anastomosis and their prevetion and treatment strategies [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(05): 388-395.
[7]	Jiafa Ren, Buyun Wu, Changying Xing, Huijuan Mao. Advances in the basic and clinical research on acute kidney injury in 2022 [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(05): 276-281.
[8]	Zechao Zhu, Xinyu Yang, Youcheng Li, Pengyu Pan, Guobiao Liang. Impact of genistein on early brain injury following subarachnoid hemorrhage in mice via the SIRT1/p53 signaling pathway [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(05): 261-269.
[9]	Yong Zou, Yingjiang Gu, Hao Ding, Chenghao Yang, Minhui Chen, Yu Cai. Effects of puerarin on early inflammatory and oxidative stress responses involving the Nrf2/HO-1 and NF-κB signaling pathways after intracerebral hemorrhage in rat models [J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2023, 13(05): 271-277.
[10]	Mo Yun, Maofang Li, Hao Wang, Dongyuan Liu. Clinical study of minimally invasive puncture and drainage combined with piracetam and urapidil in the treatment of hypertensive intracerebral hemorrhage in basal ganglia [J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2023, 13(05): 278-285.
[11]	Zhengwei Liu, Lizhi Yi, Xilong Yin, Wenlong Kong, Zhisong Jiu, Wenyuan Zhang. Efficacy analysis of external drainage of conocephalic hematoma and neuroendoscopic surgery for senile hypertensive intracerebral hemorrhage in basal ganglia [J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2023, 13(05): 299-303.
[12]	Qiang Ma, Jun Li, Lijuan Gou. Expression levels of miR-21-3p and RUNX3 in severe acute pancreatitis and their predictive value to the progression of the disease [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(05): 337-341.
[13]	Yihan Wu, Zhang Lei, Hongda Lu. Progress in understanding of role of MUC16/CA125 in diagnosis and treatment of benign and malignant tumors [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(05): 591-595.
[14]	Tun Zhao, Jihua Xu, Youdi He, Ming Lu. Acute spontaneous trace amount cerebral hemorrhage misdiagnosed as cerebral infarction and nearly thrombolysis: a case report [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 369-372.
[15]	Ping Hu, Tengfeng Yan, Haizhu Zhou, Xingen Zhu. Advances in artificial intelligence be applied to early diagnose intracranial hemorrhage and hematoma segmentation [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 410-416.

Please choose a citation manager

Content to export