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INTRAOPERATIVE ENDOSCOPY AS A METHOD FOR ASSESSING THE GASTROINTESTINAL TRACT ANASTOMOSIS


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Abstract

Complications of the gastrointestinal tract anastomosis which occur in the early postoperative period are the most difficult in a surgeon's practice. Among them are bleeding from the suture line and anastomotic leakage. Usually conservative management is effective in the case of bleeding, but sometimes only endoscopic treatment (clipping, epinephrine injection) can lead to the hemostasis. Anastomotic leakage usually requires reoperation, but in some cases it can be avoided by the use of endoscopic treatment (stenting, clipping, endoluminal vacuum aspiration system). Anastomotic leakage is associated with high morbidity and mortality. The desire of surgeons to avoid such complications led to the development of endoscopic methods for assessing the gastrointestinal tract anastomosis. Intraoperative endoscopy is one of them. It is safe and useful method for assessing the gastrointestinal tract anastomosis. It allows to detect anastomotic leak, stenosis or bleeding during the surgery and to correct it at the same time. Thus we can prevent postoperative anastomotic complications by the use of intraoperative endoscopy. The article presents the review of foreign studies which showed importance and feasibility of this method.


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