Question 1

will tiny anastomosis leak after a colon resection heal after two or more weeks of invanz & tpn, along with colon resting?

Accepted Answer

Complex : If it is tiny, it should most likely resolve as the omentum seals it. Usually with a leak, bowel rest with TPN, antibiotics for a short period (not established) 2-4 weeks and +\- percutaneous drainage  can replace the need for further surgery if the leak is tiny.  Usually this requires a follow up CT study with oral contrast and many factors.  (ID prespective) - may need surgery later

Question 2

if big collection pus & faecal matter leaks 4m rectal anastomosis all way down 2 obturator foramen an out both sockets hypotheticaly if not drained out, my questions wud b wat wud happen,can pus an especially poop actualy dry up an dissapear entirely?

Accepted Answer

: This can be deadly. See someone tonight I would think.

Question 3

whats difference between contained anastomotic leak and a free anastomatic leak ?

Accepted Answer

Local vs peritonitis: Presumably this refers to an intra-abdominal anastamosis, likely intestinal. "Contained" means the leak was probably slow and there was time for an inflammatory reaction that kept the leak localized and maybe small. Free means intestinal contents leaked more widely into the abdominal cavity. Free is much more serious, usually with peritonitis. Most important that you discuss with your surgeon.

Question 4

what causes an anastomotic leak? is an exploratory laparotomy the procedure needed to correct? what are exploratory laparotomy usually needed for?

Accepted Answer

Variety of causes: Anastomotic leak is a term used to describe the breakdown between two surgically connected sites and is often used to describe GI anatomy. This may be where two pieces of bowel are brought together, or the outflow of an organ such as the liver or kidney is connected. When organs leak, infection in the abdomen can ensue. An exploratory laparotomy is the right choice to find and fix the leak.

Question 5

had ileostomy reversal surgery that failed due 2 anastomotic leak/abscess fluid filling up. y would dr wait 5days b4 doing 2nd surgery 2 correct?

Accepted Answer

Ileostomy reversal: He most likely wanted to give the leak an opportunity to close on its own.

Question 6

what problems would a patient have if they suffered an anastomotic leak from failed  ileostomy reversal surgery & treatment was delayed for 1 week?

Accepted Answer

Ileostomy: The fact there is still an ileostomy. After the recovery period, there shouldn't be any long term affects in addition  to what the initial surgery could have without the leak.  If going for another ileostomy reversal, ask you doctor about near infrared imaging with administration of ICG. This MAY help determine adequate blood supply to the area being reconnected.

Question 7

whats  ileorectal sigmoid anastomosis?

Accepted Answer

Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum.  There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon.
Often the area is called the rectosigmoid region so this leads to the confusion.  There is no ileorectal sigmoid anastomosis.

Question 8

do you need a colonoscopy when you have a ileoanal anastomosis?

Accepted Answer

Depends: If the ileoanal anastomosis was due to ulcerative colits, the anal area needs to be surveyed.

Question 9

what causes chronic inflammatory cavities in direct communication with anastomosis  ?

Accepted Answer

May be diverticuliti: Your question suggests an intraabdominal inflammatory condition, perhaps diverticulitis or ulcerative colitis, with associated surgical procedures. Evaluation by your primary medical provider is in order for your clarification, and for plan of action if needed.

Question 10

what would happen if fluid collections and air bubbles around anorectal anastomosis cannot self-resolve properly after lar surgery?

Accepted Answer

Many things: The most concerning thing would be an abscess.  This could require drainage via ct guidance or surgery.  It could even cause breakdown of the anastomosis.  Best to keep in close contact with your surgeon just in case.

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Doctor answers about:

Anastomosis leak symptonms

A member asked:

Will tiny anastomosis leak after a colon resection heal after two or more weeks of invanz & tpn, along with colon resting?

A member asked:

If big collection pus & faecal matter leaks 4m rectal anastomosis all way down 2 obturator foramen an out both sockets hypotheticaly if not drained out, my questions wud b wat wud happen,can pus an especially poop actualy dry up an dissapear entirely?

A member asked:

Whats difference between contained anastomotic leak and a free anastomatic leak ?

A member asked:

What causes an anastomotic leak? is an exploratory laparotomy the procedure needed to correct? what are exploratory laparotomy usually needed for?

A member asked:

Had ileostomy reversal surgery that failed due 2 anastomotic leak/abscess fluid filling up. y would dr wait 5days b4 doing 2nd surgery 2 correct?

A member asked:

What problems would a patient have if they suffered an anastomotic leak from failed ileostomy reversal surgery & treatment was delayed for 1 week?

A member asked:

Whats ileorectal sigmoid anastomosis?

A member asked:

Do you need a colonoscopy when you have a ileoanal anastomosis?

A member asked:

What causes chronic inflammatory cavities in direct communication with anastomosis ?

A member asked:

What would happen if fluid collections and air bubbles around anorectal anastomosis cannot self-resolve properly after lar surgery?

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