Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates?

Purpose Ensuring optimal colonic perfusion is a critical step in every colorectal anastomosis. The aim of this study is to describe the concept of epiploic steal. Methods A literature review was performed to identify studies evaluating anastomotic blood supply. The fundamental principle of epiploic...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2024-07, Vol.409 (1), p.214, Article 214
Main Author: Sarofim, Mina
Format: Article
Language:English
Subjects:
Abdominal Surgery
Anastomosis, Surgical
Anastomotic Leak - prevention & control
Brief Report
Cardiac Surgery
Colectomy - adverse effects
Colectomy - methods
Colon - blood supply
Colon - surgery
General Surgery
Humans
Medicine
Medicine & Public Health
Rectum - blood supply
Rectum - surgery
Thoracic Surgery
Traumatic Surgery
Vascular Surgery
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Summary:Purpose Ensuring optimal colonic perfusion is a critical step in every colorectal anastomosis. The aim of this study is to describe the concept of epiploic steal. Methods A literature review was performed to identify studies evaluating anastomotic blood supply. The fundamental principle of epiploic steal is outlined. Results Epiploic steal has not been previously evaluated in the literature, and likely has a negative effect on colonic blood supply. Resection of colonic epiploicae may improve perfusion at the distal most lengths of a mobilised colonic conduit where the anastomosis requires it. Conclusion This novel concept has the potential to change practice and reduce colorectal anastomotic leak rates. Further clinical studies are required.
ISSN:1435-2451
1435-2443
1435-2451
DOI:10.1007/s00423-024-03410-z