PMID- 33761553
OWN - NLM
STAT- MEDLINE
DCOM- 20210326
LR  - 20220401
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 51
IP  - 1
DP  - 2021 Mar 31
TI  - Hyperbaric oxygen treatment for late low colorectal anastomosis ischaemia: Case 
      report.
PG  - 116-118
LID - 10.28920/dhm51.1.116-118 [doi]
AB  - INTRODUCTION: This report describes the use of hyperbaric oxygen treatment (HBOT) 
      to treat a case of colorectal anastomosis ischaemia following colorectal surgery. 
      CASE REPORT: A 47-year-old man developed post-operative colorectal anastomosis 
      ischaemia with leak after laparoscopic low anterior resection for T3N0 
      adenocarcinoma of the rectum. The leak with concomitant ischaemia presented 17 
      days after surgery. HBOT was administrated in 11 sessions over three weeks and 
      the patient followed endoscopically and radiologically for two months. At two 
      months the anastomosis showed both endoscopic and radiological healing; therefore 
      the ileostomy was closed. Anal function was satisfactory with no incontinence or 
      evidence of sepsis. CONCLUSIONS: Intra-operative or late leak with concomitant 
      ischaemia of a colorectal anastomosis is a challenging event in colorectal 
      surgery. HBOT may be beneficial in promoting healing in selected patients. 
      Further studies are needed to evaluate conservative treatments and the role of 
      HBOT.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in electronic 
      and other forms.
FAU - Sanzi, Marcello
AU  - Sanzi M
AD  - Department of Biomedical Science for Health, Division of General Surgery, 
      University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.
AD  - Corresponding author: Dr Marcello Sanzi, Istituto Clinico Sant'Ambrogio, Via 
      Luigi Giuseppe Faravelli, 16, 20149 Milan, Italy, marcello.sanzi@gmail.com.
FAU - Aiolfi, Alberto
AU  - Aiolfi A
AD  - Department of Biomedical Science for Health, Division of General Surgery, 
      University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.
FAU - Marin, Jacopo Nicolo
AU  - Marin JN
AD  - Department of Biomedical Science for Health, Division of General Surgery, 
      University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.
FAU - Darawsh, Abd El Hakim
AU  - Darawsh AEH
AD  - Istituto Lombardo di Medicina Iperbarica, Milan, Italy.
FAU - Bona, Davide
AU  - Bona D
AD  - Department of Biomedical Science for Health, Division of General Surgery, 
      University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.
LA  - eng
PT  - Case Reports
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Anastomosis, Surgical/adverse effects
MH  - *Colorectal Neoplasms
MH  - Humans
MH  - *Hyperbaric Oxygenation
MH  - Ischemia/surgery
MH  - Male
MH  - Middle Aged
MH  - Oxygen
MH  - Rectum/surgery
PMC - PMC8313769
OTO - NOTNLM
OT  - Anastomosis
OT  - Gastro-intestinal tract
OT  - Surgery
OT  - Wounds
COIS- Conflict of interest and funding: nil
EDAT- 2021/03/25 06:00
MHDA- 2021/03/27 06:00
PMCR- 2022/03/31
CRDT- 2021/03/24 20:25
PHST- 2020/06/16 00:00 [received]
PHST- 2020/10/26 00:00 [accepted]
PHST- 2021/03/24 20:25 [entrez]
PHST- 2021/03/25 06:00 [pubmed]
PHST- 2021/03/27 06:00 [medline]
PHST- 2022/03/31 00:00 [pmc-release]
AID - 10.28920/dhm51.1.116-118 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2021 Mar 31;51(1):116-118. doi: 10.28920/dhm51.1.116-118.