Article
Oncology
Tom Pampiglione, Manish Chand
Summary: Fluorescence angiography (FA) with indocyanine green (ICG) has become an established technique in colorectal surgery, providing visual representation of perfusion to aid intraoperative decision making. Studies have shown that routine use of FA can reduce the rate of anastomotic leak, but its limitation lies in the inability to quantify perfusion.
SURGICAL ONCOLOGY-OXFORD
(2022)
Review
Surgery
Sameh Hany Emile, Sualeh Muslim Khan, Steven D. Wexner
Summary: The use of indocyanine green fluorescence angiography (ICG-FA) for assessing colorectal anastomoses was found to be associated with lower odds of anastomotic leak compared to traditional white light assessment. However, changing the surgical plan based on ICG-FA may increase the risk of anastomotic leak.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Jeremy Meyer, Heman Joshi, Nicolas C. Buchs, Frederic Ris, Justin Davies
Summary: Objective observational studies have shown that fluorescence angiography (FA) can decrease the incidence of anastomotic leak (AL) in colorectal surgery. However, the effect size of FA may be small and further research is needed to determine the cost-effectiveness and the specific population who would benefit from FA.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Oncology
Kamil Safiejko, Radoslaw Tarkowski, Tomasz Piotr Kozlowski, Maciej Koselak, Marcin Jachimiuk, Aleksander Tarasik, Michal Pruc, Jacek Smereka, Lukasz Szarpak
Summary: This study evaluated the efficacy and safety of indocyanine green (ICG) in colorectal cancer surgery and found that the ICG group had a lower rate of anastomotic leak. ICG has the advantages of safety, simplicity, and short adjustment time, making it a valuable tool in reducing complications after colorectal surgery.
Article
Surgery
Rachel Q. Liu, Ahmad Elnahas, Ephraim Tang, Nawar A. Alkhamesi, Jeffrey Hawel, Abdulaziz Alnumay, Christopher M. Schlachta
Summary: The routine use of ICG-FA for colorectal anastomosis was found to be cost saving and a dominating strategy. However, there is a need for more prospective, randomized controlled trials to improve the quality of evidence.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Gastroenterology & Hepatology
M. Song, J. Liu, D. Xia, H. Yao, G. Tian, X. Chen, Y. Liu, Y. Jiang, Z. Li
Summary: This systematic review and meta-analysis found that intraoperative use of ICG fluorescence imaging can significantly reduce the anastomotic leak rate in rectal cancer surgery, as well as decrease the overall complication rate and reoperation rate.
TECHNIQUES IN COLOPROCTOLOGY
(2021)
Article
Surgery
Juan-Carlos Gomez-Rosado, Javier Valdes-Hernandez, Juan Cintas-Catena, Auxiliadora Cano-Matias, Asuncion Perez-Sanchez, Francisco-Javier del Rio-Lafuente, Cristina Torres-Arcos, Yaiza Lara-Fernandez, Luis-Cristobal Capitan-Morales, Fernando Oliva-Mompean
Summary: This study aimed to evaluate the predictive ability of indocyanine green fluorescence angiography in detecting anastomotic leakage in colorectal cancer surgery. The results showed that arterial hypertension and the location of the anastomosis influenced the intensity of fluorescence. Changing the division point should be considered when the fluorescence intensity at the point of section is below a certain level to prevent anastomotic leakage.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Health Care Sciences & Services
Mark Gray, Jamie R. K. Marland, Alan F. Murray, David J. Argyle, Mark A. Potter
Summary: Development of an anastomotic leak (AL) following colorectal cancer surgery is a life-threatening complication that can lead to severe consequences such as abdominal contamination and peritonitis. Current research is focusing on identifying diagnostic or predictive biomarkers for AL to enhance post-operative care and improve outcomes for patients. Although no AL biomarker has been validated in large-scale clinical trials yet, personalized medicine through biomarker analysis could hold promise for colorectal cancer patients undergoing intestinal resection and anastomosis in the future.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Review
Gastroenterology & Hepatology
Rachael E. Clifford, Hayley Fowler, Nicola Manu, Paul Sutton, Dale Vimalachandran
Summary: Anastomotic leak after colorectal resection is associated with poor outcomes, and techniques to reduce leak rates are highly sought. Air-leak testing is the most commonly used method in Europe, but the use of fluorescence studies to guide the site of anastomosis shows promise for the future.
COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
Timothy S. Nugent, Michael E. Kelly, Noel E. Donlon, Matthew R. Fahy, John O. Larkin, Paul H. McCormick, Brian J. Mehigan
Summary: This meta-analysis study confirms that obesity is a significant risk factor for rectal anastomotic leak, with technical difficulties likely playing a major role.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Biochemistry & Molecular Biology
Ri-Na Yoo, Ji-Yeon Mun, Hyeon-Min Cho, Bong-Hyeon Kye, Hyung-Jin Kim
Summary: This study investigates the impact of intraoperative colonoscopy on anastomotic problems and finds that it does not immediately reduce the rate of anastomotic complications. However, it may play a role in detecting early technical failure and preventing postoperative anastomotic complications.
Review
Gastroenterology & Hepatology
Sara Lauricella, Daniel Peyser, Francesco Maria Carrano, Patricia Sylla
Summary: This paper reviewed the data on the transanal application of indocyanine green fluorescence angiography (ICG-FA) for the intraluminal assessment of colorectal anastomosis. The study found that the intraluminal assessment of colorectal anastomosis with ICG-FA is feasible, safe, and may reduce the incidence of leaks.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Gastroenterology & Hepatology
Petrus Bostrom, Johan Svensson, Camilla Brorsson, Martin Rutegard
Summary: This study showed that increased postoperative pain in the post-anaesthesia care unit is an independent marker of anastomotic leakage after colorectal surgery, with moderate to severe pain being associated with higher risks of leakage and reoperation.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
Melissa N. N. Arron, Jose A. E. Custers, Harry van Goor, Franzel J. B. van Duijnhoven, Ellen Kampman, Ewout A. Kouwenhoven, Johannes H. W. de Wilt, Dieuwertje E. Kok
Summary: This study investigated the association between colorectal anastomotic leakage (AL) and health-related quality of life (HRQoL) in colorectal cancer patients up to 2 years after diagnosis. It was found that AL was associated with a clinically relevant decrease in HRQoL at 6 months post-diagnosis. However, no association was observed at 2 years after diagnosis.
COLORECTAL DISEASE
(2023)
Article
Surgery
Richard T. Spence, Dhruvin H. Hirpara, Sachin Doshi, Fayez A. Quereshy, Sami A. Chadi
Summary: A study found that early anastomotic leaks (within three days post-surgery) were associated with a higher failure to rescue rate. Therefore, early detection algorithms and interventions are recommended to minimize the risk of failure to rescue.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Mehraneh D. Jafari, Steven D. Wexner, Joseph E. Martz, Elisabeth C. McLemore, David A. Margolin, Danny A. Sherwinter, Sang W. Lee, Anthony J. Senagore, Michael J. Phelan, Michael J. Stamos
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2015)
Letter
Surgery
Danny A. Sherwinter
WORLD JOURNAL OF SURGERY
(2015)
Article
Surgery
Bryan J. Sandler, Danny Sherwinter, Lucian Panait, Richard Parent, Jennifer Schwartz, David Renton
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2017)
Article
Gastroenterology & Hepatology
Danny A. Sherwinter, Jeremy G. Eckstein
GASTROINTESTINAL ENDOSCOPY
(2009)
Editorial Material
Gastroenterology & Hepatology
Danny A. Sherwinter
JOURNAL OF GASTROINTESTINAL SURGERY
(2012)
Article
Surgery
Danny A. Sherwinter, Amar Gupta, Jeremy G. Eckstein
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2011)
Article
Surgery
Danny A. Sherwinter
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2012)
Article
Surgery
Danny A. Sherwinter
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
(2010)
Article
Surgery
Danny A. Sherwinter, Jana Lewis, Jesus E. Hidalgo, Jonathan Arad
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
(2012)
Letter
Surgery
Danny A. Sherwinter
Article
Surgery
Danny A. Sherwinter, Amar Gupta, Lee S. Cummings, Sidney Z. Brejt, Shelly Z. Brejt, Jerzy M. Macura, Harry Adler
SURGERY FOR OBESITY AND RELATED DISEASES
(2010)
Article
Surgery
Danny A. Sherwinter, Amar Gupta, Lee Cummings, Jeremy G. Eckstein
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2010)
Article
Surgery
Danny A. Sherwinter
SURGICAL INNOVATION
(2013)
Article
Surgery
Danny A. Sherwinter
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
(2012)