{"id":15986,"date":"2020-08-19T20:48:30","date_gmt":"2020-08-19T19:48:30","guid":{"rendered":"http:\/\/opa.org.uk\/?p=15986"},"modified":"2021-01-21T20:51:37","modified_gmt":"2021-01-21T20:51:37","slug":"what-to-know-about-anastomosis","status":"publish","type":"post","link":"https:\/\/opa-old.voidappsdev.uk\/?p=15986","title":{"rendered":"What to know about anastomosis"},"content":{"rendered":"<div>\n<p>The word \u201canastomosis\u201d refers to a connection between two tubes or passages that would normally branch away from each other.<\/p>\n<\/div>\n<p>In medical terminology, anastomosis is when surgeons connect two tube-like structures inside the body. People may need anastomosis to join blood vessels or sections of the bowel.<\/p>\n<p>Here we look at the types of anastomosis and their uses. We also outline what to expect during and after anastomosis.<\/p>\n<div>\n<p>The term \u201canastomosis\u201d refers to a connection between two tubes or passages that would usually branch away from each other.<\/p>\n<h3>Anastomosis in biology<\/h3>\n<p>Anastomosis occurs naturally in the body, where veins and arteries connect to transport blood around the body.<\/p>\n<p>Anastomosis in the vascular system creates a backup pathway for blood flow if a blood vessel becomes blocked.<\/p>\n<p>Vascular fistulae are abnormal anastomoses, where blood vessels join together through injury, inflammation, or disease.<\/p>\n<h3>Anastomosis in medicine<\/h3>\n<p>In surgery, an anastomosis occurs when a surgeon or interventionalist connects two tube-like structures in the body.<\/p>\n<p>Examples include:<\/p>\n<ul>\n<li>two blood vessels<\/li>\n<li>two sections of bowel<\/li>\n<li>two parts of the genitourinary tract<\/li>\n<\/ul>\n<div>\n<div id=\"swoopAd\">Uses<\/div>\n<\/div>\n<\/div>\n<div>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">People may require anastomosis to:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">repair damage to veins or arteries<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">create a bypass for blocked arteries<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">connect a donor organ to a blood supply<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">rejoin two sections of intestine after removal of damaged or diseased tissue<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">treat conditions such as:\n<ul style=\"box-sizing: border-box; border: 0px; outline: 0px; font-size: 1em !important; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em; margin: 1em 0px 0px !important 0px;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/324037\">intestinal blockages<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/163772\">ulcerative colitis<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/151620\">Crohn\u2019s disease<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/322428\">colon polyps<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/150496\">colon cancer<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">traumatic injury<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">Types<\/div>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">There are two main types of anastomosis: Bowel anastomosis and vascular anastomosis.<\/p>\n<h3 style=\"box-sizing: border-box; margin: 0px 0px 0.4em; border: 0px; outline: 0px; font-size: 1.4375em; vertical-align: baseline; background: transparent; padding: 0px; color: #2e3192; font-family: 'PT Serif', Arial, Helvetica, sans-serif; letter-spacing: 0.05em; line-height: 1.4em;\">Bowel anastomosis<\/h3>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Bowel anastomosis connects two sections of the bowel or connects the bowel to other structures within the body. The different types of bowel anastomosis include:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Intestinal anastomosis:\u00a0This involves removing part of the colon and joining the two remaining sections.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Ileocolic or ileocolonic anastomosis:\u00a0This connects the end of the small intestine to the colon, usually after a bowel resection.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Colectomy:\u00a0This surgery involves removing the colon and attaching the end of the small intestine to the rectum.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Single anastomosis gastric bypass (SAGB):\u00a0People may have a\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/gastric-bypass\">gastric bypass\u00a0<\/a>to aid weight loss. A SAGB procedure involves turning part of the stomach into a gastric pouch and attaching it to a small loop of intestine. This restricts a person\u2019s food intake and reduces calorie absorption.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Hepaticojejunostomy:\u00a0Connecting a hepatic duct to a section of the small bowel, permitting digestion of food following certain pathological processes that harm the bile ducts, pancreas, or the duodenum.<\/li>\n<\/ul>\n<h3 style=\"box-sizing: border-box; margin: 0px 0px 0.4em; border: 0px; outline: 0px; font-size: 1.4375em; vertical-align: baseline; background: transparent; padding: 0px; color: #2e3192; font-family: 'PT Serif', Arial, Helvetica, sans-serif; letter-spacing: 0.05em; line-height: 1.4em;\">Vascular anastomosis<\/h3>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Vascular anastomosis connects blood vessels. There are three types:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Arterioarterial anastomosis\u00a0connects two arteries.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Venovenous anastomosis\u00a0connects two veins.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Arteriovenous anastomosis\u00a0connects an artery to a vein.<\/li>\n<\/ul>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">This procedure can occur to create durable dialysis access for people with\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/327300\">kidney failure.<\/a><\/p>\n<div id=\"hl-incontent-video-ad\" style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\"><span style=\"background-color: transparent;\">Staples or stitches?<\/span><\/div>\n<\/div>\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Surgeons often use staples or stitches when connecting tissues during an anastomosis.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Stapling is the more\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4198793\/\" target=\"_blank\" rel=\"noopener noreferrer\">common<\/a>\u00a0method for most bowel anastomosis, as it is quicker than sewing and easier to master.<\/p>\n<form style=\"box-sizing: inherit; margin: 0px; border: 0px; outline: 0px; font-size: 17px; vertical-align: baseline; background: transparent; padding: 0px; width: 302px; max-width: 302px; overflow: hidden; -webkit-font-smoothing: antialiased; color: #231f20; font-family: 'Proxima Nova', -apple-system, system-ui, system-ui, 'Helvetica Neue', Helvetica, Roboto, Arial, sans-serif;\" novalidate=\"\"><span style=\"background-color: transparent; color: #333333; font-family: Georgia, 'Times New Roman', 'Bitstream Charter', Times, serif; font-size: 16px;\">What to expect<\/span><\/form>\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">A person will be under\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/265592\">general anesthesia<\/a>\u00a0for the duration of surgery that involves an anastomosis.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">The type of anastomosis a person has depends on their underlying condition.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">The surgeon will carry out the anastomosis during one of the following procedures:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Laparoscopy, or \u201ckeyhole surgery\u201d:\u00a0This is a minimally invasive procedure that involves inserting a laparoscope into a small incision in the abdomen. A laporoscope is a thin, flexible tube that has a light and camera at one end. The instrument allows the surgeon to see inside the abdomen while operating.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Open surgery or \u201claparotomy\u201d:\u00a0This procedure involves making a larger incision across the abdomen.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Hand assisted laparoscopy:\u00a0In this type, the surgeon makes an incision large enough to insert a hand to operate. The procedure creates a smaller incision than that required for open surgery but is more invasive than a laparoscopy.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Robotic surgery or \u201crobot assisted laparoscopy\u201d:\u00a0This is minimally invasive and similar to laparoscopy, but the surgeon uses a console to control a surgical robot. The chief advantage is that the system allows the surgeon more dexterity and 3D vision of the structures inside the body.<\/li>\n<\/ul>\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">Recovery<\/div>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">The recovery time from surgery that involves anastomosis will depend on several factors, including:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">the medical reason for the surgery<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">the type of technique the surgeon used<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">whether the person had any other health issues<\/li>\n<\/ul>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">People who have laparoscopic or robotic surgery typically experience a\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/fascrs.org\/patients\/diseases-and-conditions\/a-z\/laparoscopic-surgery-what-is-it\" target=\"_blank\" rel=\"noopener noreferrer\">shorter recovery time<\/a>\u00a0than those who have open surgery. Both minimally invasive methods may also be less painful and result in less scarring.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Recovery from surgery can take between\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/healthcare.utah.edu\/the-scope\/shows.php?shows=0_jcd5tg17\" target=\"_blank\" rel=\"noopener noreferrer\">6 weeks and 2 months<\/a>. People should follow their doctor\u2019s instructions to ensure they heal effectively and minimize the risk of complications.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">The following may help the healing process:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">eating a healthful diet high in\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/196279\">protein<\/a>,\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/263176\">zinc<\/a>, and\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/219352\">vitamin C<\/a>\u00a0to promote wound healing<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">performing gentle exercises to promote circulation, assist healing, and prevent\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/311889\">blood clots<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">lifting no more than\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.stjoes.ca\/patients-visitors\/patient-education\/u-z\/PD%206225%20Wound%20Care%20After%20Surgery.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">10 pounds<\/a>\u00a0(4.5 kilograms) as this can impair healing and cause incisional hernias<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">following the doctor\u2019s advice for wound care at home<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">taking any medications as the doctor prescribes<\/li>\n<\/ul>\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9;\" contenteditable=\"false\" name=\"anastomotic-leakage\"><\/a>Anastomotic leakage<\/div>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">A potential complication of any anastomosis is leakage.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Anastomotic leakage is when the anastomosis does not heal correctly, causing internal fluid to leak out. This is a serious condition that requires immediate medical treatment.<\/p>\n<h3 style=\"box-sizing: border-box; margin: 0px 0px 0.4em; border: 0px; outline: 0px; font-size: 1.4375em; vertical-align: baseline; background: transparent; padding: 0px; color: #2e3192; font-family: 'PT Serif', Arial, Helvetica, sans-serif; letter-spacing: 0.05em; line-height: 1.4em;\">Risk factors and symptoms<\/h3>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4687306\/\" target=\"_blank\" rel=\"noopener noreferrer\">Researchers<\/a>\u00a0do not know the causes of anastomotic leakage. However, the following may increase a person\u2019s risk:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/179316\">malnutrition<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">existing health problems<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.urmc.rochester.edu\/encyclopedia\/content.aspx?contenttypeid=134&amp;contentid=154\" target=\"_blank\" rel=\"noopener noreferrer\">poor wound healing<\/a>\u00a0due to\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/10566\">smoking<\/a>\u00a0or\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/323627\">diabetes<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">long operation time<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">previous abdominal surgery<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">emergency surgery<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">older age<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">being male<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">technical challenges<\/li>\n<\/ul>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Symptoms of an anastomotic leak include:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/168266\">fever<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">increased heart rate<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/chills\">chills<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">stomach pain<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">nausea and vomiting<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">difficulty breathing<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">fluid leaking from a closed incision<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/321650\">chest pain<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/325398\">reduced urine output<\/a><\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">general discomfort<\/li>\n<\/ul>\n<h3 style=\"box-sizing: border-box; margin: 0px 0px 0.4em; border: 0px; outline: 0px; font-size: 1.4375em; vertical-align: baseline; background: transparent; padding: 0px; color: #2e3192; font-family: 'PT Serif', Arial, Helvetica, sans-serif; letter-spacing: 0.05em; line-height: 1.4em;\">Diagnosis<\/h3>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Doctors may use the following to diagnose an anastomotic leak:<\/p>\n<ul style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px 0px 0px 40px; line-height: 1.6em;\">\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/153201\">CT scan<\/a>:\u00a0This method combines a series of X-rays to produce a detailed picture of the inside of the body. CT scans\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5355508\/\" target=\"_blank\" rel=\"noopener noreferrer\">may be less effective<\/a>\u00a0at detecting leakage than other methods.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Contrast enema:\u00a0A person receives an enema containing a contrast agent such as iodine or barium. The agent provides a detailed image of the colon during X-ray.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/153737\">Endoscopy:<\/a>\u00a0A doctor inserts a thin, flexible tube or endoscope into the abdomen via the rectum. The endoscope has a light and camera to allow the doctor to see inside the abdomen.<\/li>\n<li style=\"box-sizing: border-box; margin: 0.5em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Repeat surgery (exploration):\u00a0A doctor may perform another surgery to examine the area.<\/li>\n<\/ul>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Anastomotic leakage can be life threatening and requires immediate medical treatment.<\/p>\n<\/div>\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">\n<div style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">Summary<\/div>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">In medicine, an anastomosis is when surgeons join two tube-like structures or passageways in the body. There are two main types of anastomosis: bowel, and circulatory.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">Recovery from an anastomosis may take between 6 weeks and 2 months. During this time, a person will need to follow their doctor\u2019s instructions for wound care to ensure proper healing.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\">In some cases, people may experience complications of anastomosis. Anyone who experiences symptoms of anastomotic leakage should seek immediate medical treatment.<\/p>\n<p style=\"box-sizing: border-box; margin: 1em 0px; border: 0px; outline: 0px; font-size: 1em; vertical-align: baseline; background: transparent; padding: 0px; line-height: 1.6em;\"><em style=\"box-sizing: border-box; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; background: transparent; padding: 0px;\">This article is from Medical News Today &#8211;\u00a0<a style=\"box-sizing: border-box; background: transparent; margin: 0px; border: 0px; outline: 0px; vertical-align: baseline; padding: 0px; color: #77b7d9; text-decoration-line: none; display: inline;\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/anastomosis\">https:\/\/www.medicalnewstoday.com\/articles\/anastomosis<\/a><\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In medical terminology, anastomosis is when surgeons connect two tube-like structures inside the body&#8230;<\/p>\n","protected":false},"author":4,"featured_media":15955,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-15986","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorised"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - 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