On the clinical treatment of anastomotic leakage.docVIP

 PAGE \* MERGEFORMAT 7 On the clinical treatment of anastomotic leakage [Abstract] fistula is one of serious complications after colon cancer, if not in time, mortality is extremely high. Anastomotic leakage of foreign coverage rate of 4% to 25% of the domestic coverage of 5% to 10% . anastomotic leakage and general condition, preoperative bowel preparation, the operation, anastomotic blood supply and tension, consistent quality, pelvic infection and poor drainage, and other factors. often occurs after 4 to 9 days left colon as poor blood supply, the amount of feces contain more bacteria, more common postoperative anastomotic leakage, resection of the right colon is relatively rare. [Keywords:] Clinical treatment of anastomotic leakage First, the causes of anastomotic leakage Colorectal cancer after surgery because of anastomotic fistula are: 1. Patients with poor nutritional status of the body: colon cancer occurs mainly in middle-aged, often associated with diabetes, cirrhosis and other chronic wasting disease, caused by the tumor itself in patients with excessive consumption. These are the body’s repair and a serious decline in resistance to infection , which led to anastomotic healing. intestinal obstruction and bowel dysfunction also leads to poor nutritional status of the body, weight loss, lack of protein and a variety of nutrients, directly affect the tissue repair function and immune function. 2. Left colon are mostly associated with different degrees of obstruction, preoperative bowel preparation often can not achieve the purpose of cleansing the intestinal tract. Need emergency surgery, because the lumen of high fecal bacteria levels, is difficult to complete decompression surgery. If intestine after manure product, product gas, can lead to increased anastomotic tension, anastomotic pollution also increased the incidence of anastomotic leakage risk. 3. Anastomotic poor blood supply, anastomotic tension, or stitchin