Related Experiment Videos
Endosonographic detection of rectum anastomoses
1Chirurgische Abteilung, Marien-Hospital, Düsseldorf, Federal Republic of Germany.
Surgical Endoscopy
|January 1, 1991
Summary
Endorectal sonography accurately detects suture insufficiency after deep anterior rectum or sigmoid resection. This imaging technique offers high sensitivity and specificity, aiding in timely diagnosis and patient management.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Anastomotic insufficiency is a significant complication following anterior rectum or sigmoid resection.
- Accurate and timely detection of suture insufficiency is crucial for effective patient management.
Purpose of the Study:
- To evaluate the efficacy of endorectal sonography in detecting anastomotic insufficiency after anterior rectum or sigmoid resection.
- To compare the diagnostic performance of endorectal sonography with radiography.
Main Methods:
- Prospective examination of 20 patients undergoing anterior rectum or sigmoid resection (16 malignant, 4 benign).
- Postoperative assessment (12th-14th day) included clinical examination, digital palpation, rectoscopy, endorectal sonography, and contrast radiography.
- Endosonography was used to confirm findings from rectoscopy and radiography.
Main Results:
- Endorectal sonography detected anastomotic insufficiency in 6 cases and suspected it in 3 others.
- Radiography confirmed insufficiency in 3 patients and suggested it in 2.
- Endosonography demonstrated a sensitivity of 1 and specificity of 0.82 in verifying radiographic findings of insufficiency.
Conclusions:
- Endorectal sonography is a highly accurate tool for detecting suture insufficiency after deep rectal and sigmoid resections.
- This imaging modality can reliably confirm or refute radiographic findings, improving diagnostic certainty.