Investigation of prevention and treatment of anastomotic bleeding after colorectal surgery
10.3760/cma.j.cn.441530-20190906-00340
- VernacularTitle:结直肠术后吻合口出血的预防与诊治探讨
- Author:
Ganbin LI
1
;
Jiagang HAN
;
Zhenjun WANG
Author Information
1. 首都医科大学附属北京朝阳医院普通外科 100020
- Keywords:
Colorectal surgery;
Anastomotic bleeding;
Risk factors;
Precaution;
Treatment
- From:
Chinese Journal of Gastrointestinal Surgery
2020;23(12):1149-1154
- CountryChina
- Language:Chinese
-
Abstract:
Anastomotic bleeding is a common complication after colorectal surgery, mainly manifesting as continuous or intermittent bloody stool. The risk factors for anastomotic bleeding mainly include suboptimal surgical skill, surgical methods (such as laparoscopic anastomosis), close distance between the tumor and the anal margin, benign colorectal diseases, anastomotic leakage after colorectal surgery, severe pelvic and abdominal infections, and the patient's own condition, etc. Anastomotic bleeding can be prevented by standardized operation and intraoperative endoscopic examination. Anastomotic bleeding is mostly a self-limited disease, which can be cured by conservative treatments such as fluid resuscitation, blood transfusion and endoscopic treatment. When serious anastomotic bleeding threatens the life of patients, surgical treatment should be taken into consideration decisively.
