[Should colonic anastomoses be inspected radiologically?].
Routine early radiologic review examinations were conducted in 100 patients after colocolic or colorectal anastomosis. Postoperative course was assessed as clinically uncomplicated in 77 cases, a barium enema producing normal images in 67 and abnormal images in 10 cases, and recovery operations were not necessary. The course was more difficult in 23 patients: recovery operation to repair a gap was needed in 9 cases, while results were evaluated as satisfactory in 14 with 3 false negatives. Recovery operations (including 6 for fistula) in 9 patients followed acute clinical manifestations. Clinical evaluation is therefore of primary importance, a barium meal being justified only when intra-abdominal complications are suspected, while recognizing the risk of false negative results for this examination.
D000368:Aged; D003106:Colon / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000517:prevention & control / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000517:prevention & control; D011859:Radiography; D012007:Rectum / Q000601:surgery*; D013537:Sutures
Faut-il contrôler radiologiquement les anastomoses coliques?