What is anastomosis? What are the symptoms? Methods of diagnosis and treatment of anastomosis

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Anastomotic leakage is a potential complication of this procedure. This occurs when the two ends of a connecting duct are not completely closed and the contents inside come out.

What is anastomosis?

Anastomosis occurs when surgical anastomosis fails and the contents of the reconnected body vessels leak from the surgical connection. This is one of the most serious complications of bowel resection surgery. An anastomosis connects the two ends of a duct (a tube or passage). This is usually done after some part of the canal has been removed (rescued). For example, if some part of your bowel is surgically removed (bowel resection), the two dissected ends of the bowel are reattached. This connection is called anastomosis.

What are the causes and symptoms of anastomosis?

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A leak in anastomosis usually occurs due to the failure of the healing process. There is no direct cause, but various factors can contribute. These;

Excessive tension in the surgical connection: This is the main thing that surgeons try to avoid in order to prevent a leak. Tension can theoretically stretch with link tension and movement. This poses an even greater risk when the surgical field is in a narrow area where access is more difficult.

Pre-existing infections in your body cavity: A pre-existing infection causes inflammation and swelling in your body tissues. Prolonged infection causes collagen loss.

Your surgeons will try to control the infection by washing your body cavity with antiseptic and giving you antibiotics. However, your tissues may already be weakened during the surgery.

Decreased blood flow to your connecting body channels: Ischemia may be a pre-existing condition or may be a response to surgery.

Decreased immunity due to health conditions, smoking, malnutrition or use of immunosuppressants: Radiation therapy damages tissues and compromises immunity. Many people who have undergone anastomosis surgery also have cancer.

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The first and most common symptoms are:

Abdominal pain,

High fever,

Flatulence,

Endless paralytic Elias

Fast heartbeat,

Delirium,

Sepsis,

Symptoms like shock are seen.

What is the diagnosis and treatment of anastomosis?

During your visit with your healthcare provider after surgery, your healthcare provider will carefully assess your condition. They will regularly check your vital signs, blood function and bowel function. If you show any signs of infection or your bowel does not work immediately after colorectal surgery, your healthcare provider will consider the possibility of an anastomotic leak. They will use imaging tests to investigate.

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You will be treated immediately with antibiotics to control the infection. After that, your treatment will depend on the amount of leakage and how advanced your condition is.

Extraction: Swelling from contaminated fluids and / or inflammation may need to be eliminated from your body. If possible, your healthcare provider will do this appropriately.

Intestinal rest: If you have a leak in your gut, you should avoid eating and drinking by mouth during treatment. Your healthcare provider will give you intravenous fluids and feed you intravenously if necessary.

To repeat the operation: Your surgeon may need to reconsider anastomosis repeatedly. Whenever possible, they can use minimally invasive techniques, such as laparoscopy. It examines the abdomen through a small camera inserted through a small incision. Your surgeon may also insert a small incision through the incision to remove the abscess or to flush your cavity with antiseptic. If that doesn’t work, they need to reopen their body cavity to access the leak.

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Anastomosis may need to be strengthened or it may need to be rebuilt into a healthy part of your body canal. Sometimes, you may need more time to heal your body’s channels before anastomosis can be rebuilt. In the case of bowel surgery, your surgeon may need to redirect some part of your bowel to a temporary ostomy, a new opening that bypasses the anastomosis to give more time to heal.

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