ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
Endoscopy in the early postoperative setting after primary gastrointestinal anastomosis.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- Diagnostic Value of Postsurgical Endoscopy.Visceral medicine · 2025Review
- Real-Time Perfusion and Leak Assessment in Bariatric Surgery: Bridging Traditional and Advanced Techniques.Cureus · 2024Review
- Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery.Medicina (Kaunas, Lithuania) · 2023Review
- Endoscopic management of postoperative bleeding.Clinical endoscopy · 2023Review
- Management of an early anastomotic stricture using the Seldinger technique.Przeglad gastroenterologiczny · 2022Article
- Patient Acceptance of Routine Serial Postoperative Endoscopy Following Low Anterior Resection (LAR) and Its Ability to Detect Biomarkers in Anastomotic Lavage Fluid.World journal of surgery · 2021Article
- Endoscopic management of postoperative anastomotic bleeding in patients with colorectal cancer.International journal of colorectal disease · 2020Article
- Influence of Early Postoperative Feeding in Gastrointestinal Anastomotic Fistula Formation and Healing Time in Rabbits.BioMed research international · 2018Article
- Significant decrease of mortality due to anastomotic leaks following esophageal resection: management makes the difference.Langenbeck's archives of surgery · 2017Article
- Prevention of Perioperative Anastomotic Healing Complications: Anastomotic Stricture and Anastomotic Leak.Advances in surgery · 2016Review
- Role of endoscopy to predict a leak after esophagectomy.Langenbeck's archives of surgery · 2016Article
- Management of postoperative bleeding after laparoscopic left colectomy.International journal of colorectal disease · 2016Article
- Colonoscopy is the first choice for early postoperative rectal anastomotic bleeding.World journal of surgical oncology · 2014Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGastrointestinal anastomoses may require early evaluation and treatment via flexible endoscopic techniques when complications arise. There is reticence, however, to perform endoscopy given the applied mechanical forces. We aimed to identify the incidence of gastrointestinal anastomotic perforation or disruption resulting from endoscopy performed ≤6 weeks of anastomoses.
methodsReview of patients from 2002 to 2013 who underwent flexible endoscopy within 6 weeks of creation of gastrointestinal anastomosis. Exclusion criteria included intraoperative endoscopy, anastomotic perforation prior to endoscopy, and endoscopy remote from the anastomotic site. Data are presented as median (interquartile range; IQR) or percentages as appropriate.
resultsTwenty-four patients met our criteria (age 69 years [IQR 54-77], 54% men]). Endoscopy was performed at a median postoperative time of 18 days (IQR 8-30). Indications for endoscopy included bleeding (66%), obstruction (13%), pain (13%), concern for pancreatic duct leak (4%), and concern for ischemia (4%). Six patients underwent therapeutic endoscopic procedures including coagulation (8%), balloon dilation (8%), tube decompression (8%), and stent placement (4%). There were no anastomotic perforations or disruptions as a result of endoscopy.
conclusionDespite theoretical risks of adverse events of flexible endoscopy in the early postoperative period, no endoscopic perforations or disruptions occurred in recently created surgical anastomoses.
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