Loading…
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...
Saved in:
| Published in: | Langenbeck's archives of surgery 2024-07, Vol.409 (1), p.214, Article 214 |
|---|---|
| Main Author: | |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c284t-e3e63840fce2869e97664f4f15a8becd8709ff92909c3fcb777c28ff9d17414b3 |
| container_end_page | |
| container_issue | 1 |
| container_start_page | 214 |
| container_title | Langenbeck's archives of surgery |
| container_volume | 409 |
| creator | Sarofim, Mina |
| description | 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. |
| doi_str_mv | 10.1007/s00423-024-03410-z |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11246287</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3079955781</sourcerecordid><originalsourceid>FETCH-LOGICAL-c284t-e3e63840fce2869e97664f4f15a8becd8709ff92909c3fcb777c28ff9d17414b3</originalsourceid><addsrcrecordid>eNp9UUtLxDAQDqL4_gMepEcv1cmjTeNFZPEFghf1GrLZ6VrNNjVJBf31RldFL0KYTPI9MuQjZI_CIQWQRxFAMF4CEyVwQaF8WyGbVPCqZKKiq7_6DbIV4yMA1FKJdbLBFQDLa5Pcnw3d4Hxni5jQuOOii0V6yMX63uKQ8gGLJ3wtki8Czkbb9fOMOR_QJuMK05uY_MKn7ODQPBXBJIwnO2StNS7i7te-Te7Oz24nl-X1zcXV5PS6tKwRqUSONW8EtBZZUytUsq5FK1pamWaKdtZIUG2rmAJleWunUsoszDczKgUVU75NTpa-wzhd4Mxin4JxegjdwoRX7U2n_yJ996Dn_kVTykTNGpkdDr4cgn8eMSa96KJF50yPfoyag1SqqmRDM5UtqTb4GAO2P-9Q0B-J6GUiOieiPxPRb1m0_3vCH8l3BJnAl4SYoX6OQT_6MfT51_6zfQfM05jG</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3079955781</pqid></control><display><type>article</type><title>Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates?</title><source>Springer Link</source><creator>Sarofim, Mina</creator><creatorcontrib>Sarofim, Mina</creatorcontrib><description>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.</description><identifier>ISSN: 1435-2451</identifier><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-024-03410-z</identifier><identifier>PMID: 39002002</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Langenbeck's archives of surgery, 2024-07, Vol.409 (1), p.214, Article 214</ispartof><rights>Crown 2024</rights><rights>2024. Crown.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c284t-e3e63840fce2869e97664f4f15a8becd8709ff92909c3fcb777c28ff9d17414b3</cites><orcidid>0000-0003-3808-0774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39002002$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sarofim, Mina</creatorcontrib><title>Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates?</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>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.</description><subject>Abdominal Surgery</subject><subject>Anastomosis, Surgical</subject><subject>Anastomotic Leak - prevention & control</subject><subject>Brief Report</subject><subject>Cardiac Surgery</subject><subject>Colectomy - adverse effects</subject><subject>Colectomy - methods</subject><subject>Colon - blood supply</subject><subject>Colon - surgery</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Rectum - blood supply</subject><subject>Rectum - surgery</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2451</issn><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UUtLxDAQDqL4_gMepEcv1cmjTeNFZPEFghf1GrLZ6VrNNjVJBf31RldFL0KYTPI9MuQjZI_CIQWQRxFAMF4CEyVwQaF8WyGbVPCqZKKiq7_6DbIV4yMA1FKJdbLBFQDLa5Pcnw3d4Hxni5jQuOOii0V6yMX63uKQ8gGLJ3wtki8Czkbb9fOMOR_QJuMK05uY_MKn7ODQPBXBJIwnO2StNS7i7te-Te7Oz24nl-X1zcXV5PS6tKwRqUSONW8EtBZZUytUsq5FK1pamWaKdtZIUG2rmAJleWunUsoszDczKgUVU75NTpa-wzhd4Mxin4JxegjdwoRX7U2n_yJ996Dn_kVTykTNGpkdDr4cgn8eMSa96KJF50yPfoyag1SqqmRDM5UtqTb4GAO2P-9Q0B-J6GUiOieiPxPRb1m0_3vCH8l3BJnAl4SYoX6OQT_6MfT51_6zfQfM05jG</recordid><startdate>20240713</startdate><enddate>20240713</enddate><creator>Sarofim, Mina</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3808-0774</orcidid></search><sort><creationdate>20240713</creationdate><title>Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates?</title><author>Sarofim, Mina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c284t-e3e63840fce2869e97664f4f15a8becd8709ff92909c3fcb777c28ff9d17414b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdominal Surgery</topic><topic>Anastomosis, Surgical</topic><topic>Anastomotic Leak - prevention & control</topic><topic>Brief Report</topic><topic>Cardiac Surgery</topic><topic>Colectomy - adverse effects</topic><topic>Colectomy - methods</topic><topic>Colon - blood supply</topic><topic>Colon - surgery</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Rectum - blood supply</topic><topic>Rectum - surgery</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarofim, Mina</creatorcontrib><collection>SpringerOpen(OpenAccess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarofim, Mina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates?</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2024-07-13</date><risdate>2024</risdate><volume>409</volume><issue>1</issue><spage>214</spage><pages>214-</pages><artnum>214</artnum><issn>1435-2451</issn><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39002002</pmid><doi>10.1007/s00423-024-03410-z</doi><orcidid>https://orcid.org/0000-0003-3808-0774</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1435-2451 |
| ispartof | Langenbeck's archives of surgery, 2024-07, Vol.409 (1), p.214, Article 214 |
| issn | 1435-2451 1435-2443 1435-2451 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11246287 |
| source | Springer Link |
| 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 |
| title | Epiploic steal: is this concept the key to reducing colorectal anastomotic leak rates? |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T12%3A33%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Epiploic%20steal:%20is%20this%20concept%20the%20key%20to%20reducing%20colorectal%20anastomotic%20leak%20rates?&rft.jtitle=Langenbeck's%20archives%20of%20surgery&rft.au=Sarofim,%20Mina&rft.date=2024-07-13&rft.volume=409&rft.issue=1&rft.spage=214&rft.pages=214-&rft.artnum=214&rft.issn=1435-2451&rft.eissn=1435-2451&rft_id=info:doi/10.1007/s00423-024-03410-z&rft_dat=%3Cproquest_pubme%3E3079955781%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c284t-e3e63840fce2869e97664f4f15a8becd8709ff92909c3fcb777c28ff9d17414b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3079955781&rft_id=info:pmid/39002002&rfr_iscdi=true |