World journal of gastroenterology : WJG
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World J. Gastroenterol. · Mar 2011
Anterior resection for rectal carcinoma - risk factors for anastomotic leaks and strictures.
To determine the incidence and factors responsible for anastomotic leaks and stricture following anterior resection (AR) and its subsequent management. ⋯ Advance age is a risk factor for an anastomotic leak. An anastomotic leak, a mucin-secreting tumor, and lower rectal growth predispose patients to develop anastomotic strictures.
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World J. Gastroenterol. · Mar 2011
ReviewRecent results of laparoscopic surgery in inflammatory bowel disease.
Inflammatory bowel diseases are an ideal indication for the laparoscopic surgical approach as they are basically benign diseases not requiring lymphadenectomy and extended mesenteric excision; well-established surgical procedures are available for the conventional approach. Inflammatory alterations and fragility of the bowel and mesentery, however, may demand a high level of laparoscopic experience. A broad spectrum of operations from the rather easy enterostomy formation for anal Crohn's disease (CD) to restorative proctocolectomies for ulcerative colitis (UC) may be managed laparoscopically. ⋯ Multiple studies have proven that the laparoscopic approach to CD and UC is a safe and successful alternative for selected patients. The appropriate selection criteria are still under investigation. Technical considerations are playing an important role for the complexity of both diseases.