[Postoperative imaging after colorectal surgery].
Surgery for the treatment of colorectal diseases has been evolving rapidly recently. In addition to classical surgical procedures (colectomy, abdominoperineal resection), new surgical procedures include coloproctectomy with creation of an ileoanal anastomosis and ileal pouch, pelvic reconstructions (omentoplasty, placement of myocutaneous flaps) and creation of different colic anastomoses after anterior rectal resection. Even if computed tomography and fluoroscopic contrast examinations are still commonly used to assess postoperative changes and complications, especially infections, pelvic magnetic resonance imaging is useful to depict postoperative changes, detect complications such as fistulas and tumor recurrence in patients who have undergone surgery for primary or recurrent rectal disease. The main surgical techniques, their respective indications and postsurgical imaging features will be discussed. The main complications and imaging work-up will also be reviewed.
Hoeffel
C
C
Pôle d'Imagerie, Service de Radiologie, CHU de Reims, Hôpital Robert-Debré, 51092 Reims, France. choeffel-fornes@chu-reims.fr
Marcus
C
C
Arrivé
L
L
Bouché
O
O
Tubiana
Jm
J
D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D003082:Colectomy / Q000379:methods; D003106:Colon / Q000601:surgery*; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D039021:Colonic Pouches; D003287:Contrast Media; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D016737:Proctocolectomy, Restorative; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media