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Updated: Aug 13, 2026
The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
Published on: November 4, 2010
Endoscopic haemostasis of lower gastrointestinal bleeding from an ileocolonic anastomosis constructed using a
Lapo Bencini1, Roberto Manetti, Riccardo Naspetti
1Surgical Endoscopy Unit, First Department of General Surgery and Transplantation, Careggi Florence Main Hospital.
We describe a case of endoscopically treated severe occult acute and chronic bleeding from an ileocolonic anastomosis constructed using a biofragmentable anastomotic ring (BAR). A 28-year-old white woman presented with two episodes of melaena, a 6-month history of chronic iron-deficiency anaemia and weight loss. An initial oesophagogastroduodenoscopy and colonoscopy failed to reveal the cause of bleeding, whereas a second colonoscopy demonstrated bleeding from the site of the BAR ileocolonic anastomosis. Endoscopic haemostasis was successfully achieved by means of an argon-plasma coagulator.
We describe a case of endoscopically treated severe occult acute and chronic bleeding from an ileocolonic anastomosis constructed using a biofragmentable anastomotic ring (BAR). A 28-year-old white woman presented with two episodes of melaena, a 6-month history of chronic iron-deficiency anaemia and weight loss. An initial oesophagogastroduodenoscopy and colonoscopy failed to reveal the cause of bleeding, whereas a second colonoscopy demonstrated bleeding from the site of the BAR ileocolonic anastomosis. Endoscopic haemostasis was successfully achieved by means of an argon-plasma coagulator.
