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CASE REPORT article

Front. Oncol.
Sec. Surgical Oncology
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1428452

Successful treatment of anastomotic leakage with an intestinal obstruction catheter and stent by colonoscopy: A case report and brief literature review

Provisionally accepted
Wang Huang Wang Huang *Zhenzong Tan Zhenzong Tan Hao Sun Hao Sun
  • Cancer Hospital, Chongqing University, Chongqing, China

The final, formatted version of the article will be published soon.

    Background: Anastomotic leakage (AL) is one of the most common, severe, and difficult-to-treat complications after colorectal cancer surgery. However, to date, the best treatment options for AL remain elusive.Case description: Here, we report the case of a 70-year-old man who had previously undergone Hartmann's surgery and developed a large AL after a colostomy reversal surgery in an external hospital. The condition mainly manifested as passage of the fecal material through the abdominal drainage tube accompanied by fever after intestinal surgery. We used a new method involving a transanal obstruction catheter combined with an anastomotic stent, along with fasting, administration of parenteral nutrition, and anti-infection treatment. By following this approach, AL was successfully cured without any complications.To the best of our knowledge, this is the first case of the use of a transanal intestinal obstruction catheter combined with an anastomotic stent for treating colorectal AL; the findings may guide clinicians to better treat and manage AL.

    Keywords: Anastomotic leakage, Colorectal cancer surgery, Colonoscopy, intestinal obstruction catheter, Intestinal stent

    Received: 21 Jun 2024; Accepted: 02 Sep 2024.

    Copyright: © 2024 Huang, Tan and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Wang Huang, Cancer Hospital, Chongqing University, Chongqing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.