Value of a Balloon Catheter in the Conservative Therapy of Anastomotic Leakage after Low Anterior Resection of the Rectum.

Kitahara S., Ishii T., Satake H., Shimada N., Kobayashi I., Hara A., Nonaka K., Tsugu Y., Yamaguchi M.

doi:10.3862/jcoloproctology.48.49

This report describes that the balloon catheter, inserted into the upper anastomotic, region through the anus for elimination of intestinal contens with continuous low negative pressure aspiration of the pelvic drain, is efficacious in order to rest and clean the anastomotic region using coservative therapy of anastomotic leakage after low anterior rectal resectinon (LAR). Five cases with leakage after LAR were recently investigated. All of them had a clinically slight to moderate fever, abdominal pain and stool evacuation from the pelvic space, and leakage of contrast material from the anastomotic region was revealed by gastrografin enema. Stool elimination from the balloon catheter was 200-300ml/day maximally in the cases of good elimination, and discharge aspirated from the pelvic drain was markedly decreased. The duration needed for recovery of leakage was 12.5 days and fasting time was 15.3 days on the average, these were shorter than when of no balloon catheter was interposed. The balloon catheter inserted into the upper anastomotic region through the anus is efficacious for the recovery of anastomotic leakage. This technigue may be equal to establishing an artificial anus, provided it is well controlled.

Value of a Balloon Catheter in the Conservative Therapy of Anastomotic Leakage after Low Anterior Resection of the Rectum.

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