OBJECTIVE: The endo-sponge was used in two patients in the treatment of anastomotic leakage following ileo-anal J-pouch reconstruction. Recently, local vacuum sponge treatment has shown to be effective to treat contained anastomotic leakage after low anterior anastomosis in rectal cancer patients. METHOD: Two patients (male, 18 years; female, 40 years) who underwent restorative proctocolectomy for ulcerative colitis developed localized anastomotic leakage without general peritonitis. This was endoscopically managed by transanal placement of an endo-sponge (B. Braun Medical B.V., Melsungen, Germany) after a diverting ileostomy was performed. RESULTS: The sponge was frequently replaced until resolution of the sinus was achieved in 35 and 56 days. CONCLUSION: Vacuum endo-sponge treatment can help anastomotic leakage after ileo-anal pouch surgery.
OBJECTIVE: The endo-sponge was used in two patients in the treatment of anastomotic leakage following ileo-anal J-pouch reconstruction. Recently, local vacuum sponge treatment has shown to be effective to treat contained anastomotic leakage after low anterior anastomosis in rectal cancerpatients. METHOD: Two patients (male, 18 years; female, 40 years) who underwent restorative proctocolectomy for ulcerative colitis developed localized anastomotic leakage without general peritonitis. This was endoscopically managed by transanal placement of an endo-sponge (B. Braun Medical B.V., Melsungen, Germany) after a diverting ileostomy was performed. RESULTS: The sponge was frequently replaced until resolution of the sinus was achieved in 35 and 56 days. CONCLUSION: Vacuum endo-sponge treatment can help anastomotic leakage after ileo-anal pouch surgery.
Authors: Laura H Rosenberger; Amber Shada; Lane A Ritter; David M Mauro; Mark J Mentrikoski; Sanford H Feldman; Daniel E Kleiner Journal: Clin Transl Sci Date: 2014-01-23 Impact factor: 4.689
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Authors: Amber L Shada; Laura H Rosenberger; Mark J Mentrikoski; Michael A Silva; Sanford H Feldman; Daniel E Kleiner Journal: Surg Infect (Larchmt) Date: 2014-01-29 Impact factor: 2.150
Authors: Maciej Borejsza-Wysocki; Krzysztof Szmyt; Adam Bobkiewicz; Stanisław Malinger; Józef Świrkowicz; Jacek Hermann; Michał Drews; Tomasz Banasiewicz Journal: Wideochir Inne Tech Maloinwazyjne Date: 2015-06-08 Impact factor: 1.195