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9/12/2019 10:05:43 AM | Browse: 690 | Download: 826
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Received |
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2019-08-09 09:03 |
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Peer-Review Started |
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2019-08-09 09:04 |
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To Make the First Decision |
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2019-08-26 07:15 |
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Return for Revision |
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2019-08-26 08:44 |
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Revised |
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2019-08-31 23:03 |
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Second Decision |
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2019-09-03 01:17 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2019-09-03 01:50 |
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Articles in Press |
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2019-09-03 01:50 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2019-09-03 03:19 |
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Publish the Manuscript Online |
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2019-09-03 07:56 |
ISSN |
2308-3840 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. |
Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Surgery |
Manuscript Type |
Review |
Article Title |
Preventive strategies for anastomotic leakage after colorectal resections: A review
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Manuscript Source |
Invited Manuscript |
All Author List |
Mostafa Shalaby, Waleed Thabet, Mosaad Morshid, Mohamed Farid and Pierpaolo Sileri |
Funding Agency and Grant Number |
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Corresponding Author |
Mostafa Shalaby, MBChB, MD, MSc, PhD, Lecturer, Surgeon, Department of General Surgery, Mansoura University Hospitals, Mansoura University, 60 Elgomhouria Street, Mansoura 35516, Dakahlia, Egypt. mostafashalaby@mans.edu.eg |
Key Words |
Anastomotic leakage; Colorectal; Resection; Anastomosis; Cancer; Anastomotic disruption |
Core Tip |
Although the most important prerequisites for the creation of anastomosis is well-perfused and tension-free anastomosis, surgeons have proposed several preventive measures, which were assumed to reduce the incidence of anastomotic leakage, including antibiotic prophylaxis, intraoperative air leak test, omental pedicle flap, defunctioning stoma, pelvic drain insertion, stapled anastomosis, and general surgical technique. However, the decision remains based on the surgeon’s choice. This review found that many preventative measures were employed with no clear evidence supporting the superiority of stapled anastomosis over hand-sewen anastomosis, coating of the anastomosis, or pelvic drain. Defunctioning stoma, when justified it could decrease the leakage-related complications and the incidence of reoperation. Mechanical bowel preparation combined with oral antibiotics still recommended. |
Publish Date |
2019-09-03 07:56 |
Citation |
Shalaby M, Thabet W, Morshed M, Farid M, Sileri P. Preventive strategies for anastomotic leakage after colorectal resections: A review. World J Meta-Anal 2019; 7(8): 389-398 |
URL |
https://www.wjgnet.com/2308-3840/full/v7/i8/389.htm |
DOI |
https://dx.doi.org/10.13105/wjma.v7.i8.389 |
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