ArticleWorld journal of gastrointestinal surgery2025
Complete prevention of anastomotic leakage using total enteric flow diversion.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Taming colonic anastomotic leakage: Wisdom from the ancient Chinese legend of Yu the Great.World journal of gastrointestinal surgery · 2025Article
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3 authors.
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Abstract
backgroundColonic anastomotic leakage (AL) remains a feared complication of colorectal surgery. Usually, a defunctioning stoma or a proximal colostomy is performed to reduce the AL rate but cannot completely prevent AL. Moreover, defunctioning colostomy is associated with high morbidity. This study assessed the feasibility of completely preventing colonic AL using total enteric flow diversion without a defunctioning stoma in a pig model of colonic AL.
aimTo determine the feasibility of preventing colonic AL
methodsA total of 14 pigs underwent surgery to create colon anaesthesia with severe defects for establishing the AL model. The pigs were then randomized into the control group (
resultsA modified ileostomy tube with a balloon was placed and pressurized to 20 kPa at a distance of 10-20 cm proximal to the ileocecal valve, effectively obstructing the intestine without causing injury and efficiently diverting the enteric contents. In the diversion group, no cases of peritonitis or abscess were observed. In contrast, all pigs in the control group developed either abdominal abscesses or peritonitis.
conclusionInstead of ileostomy or colostomy, the total enteric flow diversion technique with the placement of a modified ileostomy tube and balloon in the ileum can effectively or completely prevent colon AL.
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