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Murine Ileocolic Bowel Resection with Primary Anastomosis
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Isolated repeated anastomotic recurrence after sigmoidectomy.

Giovanni Conzo1, Claudio Mauriello1, Claudio Gambardella1

  • 1Giovanni Conzo, Claudio Mauriello, Claudio Gambardella, Fabio Cavallo, Ernesto Tartaglia, Salvatore Napolitano, Luigi Santini, Department of Anaesthesiologic, Surgical and Emergency Science, VII Division of General Surgery, Second University of Naples, 80131 Naples, Italy.

World Journal of Gastroenterology
|December 5, 2014
PubMed
Summary

Repeated anastomotic recurrence (AR) of colonic cancer is rare. This case highlights a double-isolated AR after sigmoidectomy, emphasizing the need for vigilance in post-operative surveillance for colorectal cancer patients.

Keywords:
Repeated Anastomotic RecurrenceStapled AnastomosisViable Exfoliated Cells

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Anastomotic recurrence (AR) following colonic cancer surgery is infrequent.
  • This report details a rare instance of double-isolated AR after sigmoidectomy.

Observation:

  • A 60-year-old woman underwent sigmoid resection for adenocarcinoma in 2003.
  • She experienced rectal bleeding six months post-surgery, revealing an AR, necessitating a second stapled colorectal anastomosis.
  • Ten months later, a second circumferential AR was detected, leading to a repeat resection and double-stapled anastomosis.

Findings:

  • The patient developed a fatal pulmonary embolism 24 hours after the second revision surgery.
  • Only six cases of repeated isolated AR have been documented globally.
  • Repeated segmental colorectal resections typically offer a favorable prognosis, with a median survival of 45 months.

Implications:

  • This case underscores the rarity and potential severity of repeated isolated anastomotic recurrence in colonic cancer.
  • While segmental resections for AR generally have good outcomes, this instance highlights the critical need for meticulous surgical technique and vigilant follow-up.
  • Further research into risk factors and optimal management strategies for repeated isolated AR is warranted.