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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 30 - 35 (6page)
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초록· 키워드
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Purpose: The aims of this study were to identify the clinical characteristics of an anastomotic sinus and to assess the validity of delaying stoma closure in patients until the complete resolution of an anastomotic sinus. Methods: The subject patients are those who had undergone a resection of rectal cancer from 2011 to 2017, who had a diversion ileostomy protectively or therapeutically and who developed a sinus as a sequelae of anastomotic leakage. The primary outcomes that were measured were the incidence, management and outcomes of an anastomotic sinus. Results: Of the 876 patients who had undergone a low anterior resection, 14 (1.6%) were found to have had an anastomotic sinus on sigmoidoscopy or a gastrografin enema before their ileostomy closure. In the 14 patients with a sinus, 7 underwent ileostomy closure as scheduled, with a mean closure time of 4.1 months. The remaining 7 patients underwent ileostomy repair, but it was delayed until after the follow-up for the widening of the sinus opening by using digital dilation, with a mean closure time of 6.9 months. Four of those remaining seven patients underwent stoma closure even though their sinus condition had not yet been completely resolved. No pelvic septic complications occurred after closure in any of the 14 patients with an anastomotic sinus, but 2 of the 14 needed a rediversion due to a severe anastomotic stricture. Conclusion: Patients with an anastomotic sinus who had been carefully selected underwent successful ileostomy closure without delay.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Nisar PJ / 2011 / Factors associated with ileoanal pouch failure in patients developing early or late pouch-related fistula / Dis Colon Rectum 54:446~453
Forbes SS / 2009 / Sepsis is a major predictor of failure after ileal pouch-anal anastomosis / Dis Colon Rectum 52:1975~1981
Ptok H / 2007 / Impact of anastomotic leakage on oncological outcome after rectal cancer resection / Br J Surg 94:1548~1554
Nesbakken A / 2001 / Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer / Br J Surg 88:400~404
Akbari RP / 2009 / Anastomotic sinuses after ileoanal pouch construction : incidence, management, and outcome / Dis Colon Rectum 52:452~455
Forbes SS / 2009 / Sepsis is a major predictor of failure after ileal pouch-anal anastomosis / Dis Colon Rectum 52:1975~1981
Ptok H / 2007 / Impact of anastomotic leakage on oncological outcome after rectal cancer resection / Br J Surg 94:1548~1554
Nesbakken A / 2001 / Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer / Br J Surg 88:400~404
Akbari RP / 2009 / Anastomotic sinuses after ileoanal pouch construction : incidence, management, and outcome / Dis Colon Rectum 52:452~455
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