Monday, January 28, 2013 11:22:31 PM
Researchers from Maimonides Medical Center Report on Findings in Gastroenterology
GastroenterologyNewsRx.com
By a News Reporter-Staff News Editor at Gastroenterology Week -- New research on Gastroenterology is the subject of a report. According to news originating from Brooklyn, New York, by NewsRx correspondents, research stated, "Aim Anastomotic dehiscence is a devastating complication. Inadequate blood supply is felt to be the prevailing cause."
Our news journalists obtained a quote from the research from Maimonides Medical Center, "This study describes the use of near infrared imaging to evaluate transanally anastomotic tissue perfusion following low anterior resection.Twenty patients undergoing low anterior resection for benign and malignant disease were studied. After completing the anastomosis, indocyanine green (ICG) was injected via a peripheral intravenous catheter. An endoscopic near infrared imaging system (Pinpoint, Novadaq, Canada) was then used transanally to visualize mucosal perfusion of the colon, rectum and the anastomotic staple line. All patients underwent a technically successful ICG angiogram. The angiogram was abnormal in four patients. Two of these had a protective loop ileostomy and showed no sign of anastomotic breakdown. The other two patients were found on CT scan to have a peri-anastomotic collection consistent with anastomotic leakage. Both were managed conservatively with resolution. This study confirms that transanal ICG angiography is feasible and provides imaging of mucosal and anastomotic blood flow."
According to the news editors, the research concluded: "The technique warrants further study in a larger group of patients to assess its ability to identify defects in tissue perfusion that may lead to anastomotic breakdown."
For more information on this research see: Intra-operative transanal near infrared imaging of colorectal anastomotic perfusion: a feasibility study. Colorectal Disease, 2013;15(1):91-6. (Wiley-Blackwell - www.wiley.com/; Colorectal Disease - onlinelibrary.wiley.com/journal/10.1111/(ISSN)1463-1318)
The news correspondents report that additional information may be obtained from D.A. Sherwinter, Maimonides Medical Center, Division of Minimally Invasive Surgery, Brooklyn, New York, United States (see also Gastroenterology).
http://www.equities.com/news/headline-story?dt=2013-01-16&val=933057&cat=hcare
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