Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Time to Treatment Failure as an End Point in Pragmatic Oncology Trials: Association With Progression-Free Survival Across Randomized Studies.

JCO precision oncology·2026
Same author

Operative versus Nonoperative Management for Appendicitis.

The New England journal of medicine·2026
Same author

The Use of Prophylactic Insulin in Surgical Patients without Diabetes: A Pilot Randomized, Controlled Trial.

Annals of surgery·2026
Same author

Standard neoadjuvant immunotherapy in patients with resectable stage III Melanoma - The early Australian experience.

European journal of cancer (Oxford, England : 1990)·2026
Same author

Long-term outcomes of hybrid endoscopic submucosal dissection in a tertiary care center.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·2026
Same author

Clinical spotlight review: best practices for the management of colorectal cancer in the emergency and acute care setting.

Surgical endoscopy·2026

Related Experiment Video

Updated: May 23, 2026

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
07:51

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage

Published on: November 4, 2010

Routine leak testing in colorectal surgery in the Surgical Care and Outcomes Assessment Program.

Steve Kwon1, Arden Morris, Richard Billingham

  • 1University of Washington, Department of Surgery and Surgical Outcomes Research Center, Seattle, WA 98195, USA.

Archives of Surgery (Chicago, Ill. : 1960)
|April 18, 2012
PubMed
Summary
This summary is machine-generated.

Routine anastomotic leak testing in colorectal surgery significantly reduced adverse events by over 75%. This quality improvement metric shows promise for enhancing patient safety in left-sided colorectal procedures.

More Related Videos

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Related Experiment Videos

Last Updated: May 23, 2026

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
07:51

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage

Published on: November 4, 2010

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Area of Science:

  • Colorectal Surgery
  • Surgical Quality Improvement
  • Patient Safety

Background:

  • Anastomotic leaks are a significant complication in colorectal surgery.
  • The value of routine provocative leak testing as a quality improvement metric is not well-established.
  • Selective testing is used for higher-risk or technically difficult anastomoses.

Purpose of the Study:

  • To evaluate the impact of routine vs. selective anastomotic leak testing on patient outcomes in colorectal surgery.
  • To determine if routine leak testing is a valuable quality improvement metric.
  • To assess the effect on composite adverse events (CAE).

Main Methods:

  • Observational, prospectively designed cohort study.
  • Utilized data from Washington state's Surgical Care and Outcomes Assessment Program (SCOAP).
  • Compared outcomes between hospitals with routine (≥90% use) vs. selective (<90% use) leak testing.

Main Results:

  • A total of 3449 patients undergoing elective left-sided colon or rectal resections were analyzed.
  • Hospitals performing routine leak testing showed a >75% reduction in the adjusted risk of CAEs (OR, 0.23).
  • Overall CAE rates decreased over time in conjunction with increased leak testing.

Conclusions:

  • Routine leak testing of left-sided colorectal anastomoses is associated with reduced rates of composite adverse events.
  • Routine leak testing demonstrates potential as a worthwhile quality improvement metric within the SCOAP network.
  • This practice may enhance patient safety in colorectal surgery.