|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Management of low colorectal anastomotic leak:Preserving the anastomosis显示文摘Anastomotic leak continues to be a dreaded complication after colorectal surgery, especially in the low colorectal or coloanal anastomosis. However, there has been no consensus on the management of the low colorectal anastomotic leak. Currently operative procedures are reserved for patients with frank purulent or feculent peritonitis and unstable vital signs, and vary from simple fecal diversion with drainage to resection of the anastomosis and closure of the rectal stump with end colostomy(Hartmann's procedure). However, if the patient is stable, and the leak is identified days or even weeks postoperatively, less aggressive therapeutic measures may result in healing of the leak and salvage of the anastomosis. Advances in diagnosis and treatment of pelvic collections with percutaneous treatments, and newer methods of endoscopic therapies for the acutely leaking anastomosis, such as use of the endosponge, stents or clips, have greatly reduced the need for surgical intervention in selected cases. Diverting ileostomy, if not already in place, may be considered to reduce fecal contamination. For subclinical leaks or those that persist after the initial surgery, endoluminal approaches such as injection of fibrin sealant, use of endoscopic clips, or transanal closure of the very low anastomosis may be utilized. These newer techniques have variable success rates and must be individualized to the patient, with the goal of treatment being restoration of gastrointestinal continuity and healing of the anastomosis. A review of the treatment of low colorectal anastomotic leaks is presented. | Jennifer Blumetti Herand Abcarian | 2015 | World Journal of Gastrointestinal Surgery2015，7，12： | 4 |
| 2 | Monte Carlo procedure for investigating light propagation and imaging of highly scattering media 显示文摘 | Blumetti C Martelli F | 1998 | Appl Opt1998，37，31： | 1 |
| 3 | Monte Carlo procedure for investigating light propagation and imaging of highly scattering media显示文摘 | Sasaaroli A Blumetti C Martelli F | 1998 | Appl Opt1998，37，31： | 1 |
| 4 | Safety Assess met of Gadopentetate Dimeglumine in US Clinical Trials 显示文摘 | Goldstein HA Kashanian FK Blumetti RF | 1990 | Radiology1990，174，1： | 1 |
| 5 | Monte carlo pro- cedure for investigating light propagation and imaging of highly scattering media 显示文摘 | Sassaroli A Blumetti C Martelli F | 1998 | Applied Optics1998，37，31： | 1 |
| 6 | Safety assessment of gadopentetate dimeglumine in US clinical trials显示文摘 | Goldstein HA Kashanian J Blumetti RF | 1990 | Radiology1990，174，1： | 1 |
| 7 | Evolution of treatment of fistula in ano显示文摘 | Blumetti J Abcarlan A Quinteros F | 2012 | World J Surg2012，36，5： | 1 |
| 8 | Delayed transanal repair of persistent coloanal anastomotic leak in diverted patients after resection for rectal cancer显示文摘 | Blumetti J Chaudhry V Prasad L | 2012 | Colorectal Dis2012，14，10： | 1 |
| 9 | Monte Carlo Procedure of Investigating Light Propagation and Imaging of Highly Scattering Media 显示文摘 | SASSAROLI A BLUMETTI C MARTELLI F | 1998 | Applied Optics1998，37，31： | 1 |
| 10 | Monte Carlo procedure for investigating light propagation and imaging of highly scattering media 显示文摘 | Sassaroli A Blumetti C Martelli F | 1998 | Appl Opt1998，37，： | 1 |
| 11 | The Apennine intermountain basins: the result of repeated strong earthquakes over a geological time interval显示文摘 | Serva L Blumetti A M Guerrieri L Michetti A M | 2001 | Bollettino della Societa''Geologiea Italiana2001，1，： | 1 |
| 12 | Evolution of the treatment of fistula in ano显示文摘 | Blumetti J Abcarian A Quinteros F | 2012 | World J Surg2012，36，5： | 1 |
| 13 | Management of Anastomotic Leak: Lessons Learned from a Large Colon and Rectal Surgery Training Program显示文摘 | Jennifer Blumetti Vivek Chaudhry Jose R. Cintron John J. Park Slawomir Marecik Jacqueline L. Harrison Leela M. Prasad Herand Abcarian | 2014 | World Journal of Surgery2014，，4： | 1 |
| 14 | Safety asscssmet of gadopentetate dimeglumine in US clinical trials显示文摘 | Goldstein HA Kashanian J Blumetti RF | 1990 | Radiology1990，174，： | 1 |
| 15 | Monte Carlo procedure for investigating light propagation and imaging of highly scattering media 显示文摘 | Sassaroli A Blumetti C Martelli F | 1998 | Appl Opt1998，37，： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员