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 II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

58
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:
58
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

66
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
66
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

126
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:
126
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

53
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...
53
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

162
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,...
162
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

91
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
91

You might also read

Related Articles

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

Sort by
Same author

Predicting Treatment Response After Total Neoadjuvant Therapy for Locally Advanced Rectal Cancer.

Annals of surgery·2026
Same author

Robotic vs. laparoscopic redo ileocolonic resection for recurrent Crohn's disease.

Journal of robotic surgery·2026
Same author

Financial Toxicity Following Locally Advanced Rectal Cancer Treatment.

Diseases of the colon and rectum·2026
Same author

ASO Visual Abstract: Do Tumor Deposits Demand More? Association of Chemotherapy Regimen Intensity with Survival Outcomes in N1 Colon Cancer Patients with Tumor Deposits.

Annals of surgical oncology·2026
Same author

Age disparity in robotic colorectal surgery: overcoming surgeon hesitancy to improve elderly patient outcomes.

Journal of robotic surgery·2026
Same author

Stoma-Free Survival Following Low Anterior Resection With Coloanal Anastomosis for Stage II and III Rectal Cancer.

Diseases of the colon and rectum·2026

Related Experiment Video

Updated: Jun 10, 2025

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
08:20

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

Published on: July 12, 2018

12.9K

When Is Diversion Indicated After Right-Sided Colon Resections?

Richard Sassun1, David W Larson1, Katherine A Bews2

  • 1Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.

The Journal of Surgical Research
|October 16, 2024
PubMed
Summary

A new risk score helps identify patients needing ileostomy after right-sided colectomy. Most patients have low anastomotic leak (AL) risk, suggesting diversion should be reserved for select high-risk cases.

Keywords:
Anastomotic leakDiverting loop ileostomyRight-sided colectomy

More Related Videos

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
04:01

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

2.4K
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

387

Related Experiment Videos

Last Updated: Jun 10, 2025

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
08:20

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

Published on: July 12, 2018

12.9K
Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
04:01

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

2.4K
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

387

Area of Science:

  • Colorectal surgery
  • Surgical outcomes research

Background:

  • Ileocolonic anastomoses have a low risk of anastomotic leak (AL), making decisions about diverting loop ileostomy challenging.
  • Identifying patients who benefit from ileostomy after right-sided colectomy is difficult due to the low incidence of AL.

Purpose of the Study:

  • To develop and validate an anastomotic leak (AL) risk score for patients undergoing elective right-sided resections.
  • To aid clinicians in deciding when to consider diverting loop ileostomy after right-sided colectomy.

Main Methods:

  • Utilized a multicenter database (2012-2020) from the American College of Surgeons National Surgical Quality Improvement Program.
  • Developed an AL risk score using multivariable logistic regression to identify risk factors.
  • Assessed the developed score for visual correspondence and internal validity.

Main Results:

  • Analyzed 42,176 patients undergoing right-sided resection without diversion; the AL incidence was 2.4%.
  • The developed risk calculator demonstrated excellent calibration and fair discrimination.
  • Predicted and actual AL rates showed strong visual correspondence across most risk score deciles.

Conclusions:

  • An internally validated AL risk score for elective ileocolic resections was successfully developed.
  • The majority of patients fall into a low-risk category for AL.
  • Diverting loop ileostomy should be reserved for high-risk cases following elective right-sided resections.