INFLUENCE OF PROXIMAL END DIVERTING COLOSTOMY ON THE HEALING OF LEFT-SIDED COLONIC ANASTOMOSIS - AN EXPERIMENTAL-STUDY IN RATS

被引：4

作者：

BIELECKI, K

GROTOWSKI, M

KALCZAK, M

机构：

[1] Department of Surgery, Medical Centre for Postgraduate Education, Orlowski Hospital, Warsaw, PL-00416

[2] Department of Surgery and Pathology, Military Institute of Aviation Medicine, Warsaw

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1995年 / 10卷 / 04期

关键词：

D O I：

10.1007/BF00346217

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The purpose of this study was to evaluate the healing of an experimental left-sided colonic anastomosis in rats protected by an end diverting proximal colostomy. The anastomoses were studied by radiological and biochemical examination and breaking strength was estimated, The results were compared with a non-operated group and with a group of rats having a non-defunctional anastomosis constructed in the same manner. In animals with an end diverting colostomy, anastomotic protein levels and enzymic activity were lower than in those with a colostomy, and the development of anastomotic strength was delayed compared with those not defunctioned.

引用

页码：193 / 196

页数：4

共 22 条

[1]

Senagore A., Milsom J.W., Walshow R.K., Dunstan R., Chaudry J.H., Does a proximal colostomy affect colorectal anastomotic healing, Dis Colon Rectum, 35, pp. 182-188, (1992)

[2]

Luchtefeld M.A., Milsom J.W., Senagore A., Surrell J.A., Mazier W.P., Colorectal anastomotic stenosis: results of a survey of the ASCRS membership, Dis Colon Rectum, 32, pp. 733-736, (1989)

[3]

Tornqvist A., Blomquist P., Jiborn H., Zederfeldt B., The effect of left colon obstruction. An experimental study in the rat, Int J Colorect Dis, 5, pp. 167-169, (1990)

[4]

Scott-Connor C.E.H., Scher K.S., Implications of emergency operations on the colon, Am J Surg, 135, pp. 535-540, (1987)

[5]

Fielding L.P., Stewart-Brown S., Belsovsky L., Kearney G., Anastomotic integrity after operations for a large bowel cancer: a multicenter study, Br Med J, 281, pp. 411-413, (1980)

[6]

Umpleby H.C., Williaon R.C.N., Chir N., Survival in acute obstructing colorectal carcinoma, Dis Colon Rectum, 27, pp. 299-304, (1984)

[7]

Aterdam E., Krispin M., Primary resection with colocolostomy for obstructive carcinoma in the left side of the colon, Am J Surg, 150, pp. 558-560, (1985)

[8]

Debas H.T., Thoon F.B., A critical review of colectomy with anastomosis, Surg Gynecol Obstet, 135, pp. 747-752, (1972)

[9]

Schrock T.R., Deveney C.W., Dunphy J.E., Factors contributing to leakage of colonic anastomoses, Ann Surg, 177, pp. 513-518, (1973)

[10]

Wara P., Sorensen K., Berg V., Proximal fecal diversion: review of ten years' experiences, Dis Colon Rectum, 24, pp. 114-119, (1981)

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