BACKGROUND: Despite surgical advances, @entity834 remain a major complication after rectal resection. Endoscopic techniques are increasingly used as an alternative or in addition to conventional operative therapy of @entity834 . We have analyzed the impact of endoscopic treatment on the outcome of @entity1 with leaks after resection of @entity5 . METHODS: From January 2000 to December 2005, rectal resection was performed in 274 @entity1 with @entity5 . @entity834 was observed in 29 @entity1 (11%). Nine of these @entity1 received a protective ileostomy. The remaining 20 @entity1 underwent either conventional operative or endoscopic treatment. Both groups were analyzed regarding complications, necessity of operative reintervention, hospitalization, anastomotic healing time, and stoma reversal rate. RESULTS: The endoscopic group included 13 @entity1 who underwent endoscopic debridement in combination with stenting, endoluminal vacuum therapy, or fibrin injection. The remaining 7 @entity1 underwent reoperation-secondary ileostomy creation (n = 4), Hartmann procedure (n = 2), or anastomotic repair (n = 1). Stoma creation was necessary in 7 of 13 @entity1 (54%) in the endoscopic group and in 6 of 7 @entity1 (86%) in the operative group. There were no significant differences regarding @entity86 (39 vs 43%), duration of intensive care (13 vs 11 days), or time of hospitalization (25 vs 26 days) for endoscopic and conventional therapies. Mean healing time of the @entity834 in the endoscopic and conventional group was 105 and 173 days, respectively. The stoma reversal rate was similar in both groups (50 vs 57%), but the overall rate of @entity1 without colostomy was higher in the endoscopic group (77 vs 57%). CONCLUSION: Endoscopic therapy in combination with effective operative drainage may support healing of @entity834 after rectal resection. However, the majority of @entity1 require operative reintervention with bowel diversion despite endoscopic treatment.

The effect of endoscopic treatment on healing of @entity834 after anterior resection of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative septicemia'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leak', 'Anastomotic leakage', 'anastomotic leakage', 'anastomotic leaks'] @entity5 :: ('MESH:D009369', 'Disease') :: ['rectal cancer']
@entity5 :: (MESH:D009369,Disease) :: ['rectal cancer']
