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Unexpected Findings: Anastomotic “Donut” Problems – Incomplete or Missing Donuts with a Negative Leak Test

  • Daniel L. FeingoldEmail author
  • Steven A. Lee-Kong
Chapter

Abstract

Unexpected findings are not infrequently encountered, either intraoperatively or in the postoperative settings. Stapled anastomoses are common, but unfortunately, they don’t always come out the way you want. A positive air leak is one thing, but this chapter will discuss options for the case of incomplete or missing donuts following a stapled anastomosis and a negative air leak test.

Keywords

Stapler Anastomosis Donuts Air leak 

Suggested Reading

  1. 1.
    Offodile AC, Feingold DL, Nasar A, Whelan RL, Arnell TD. High incidence of technical errors involving the EEA circular stapler: a single institution experience. J Am Coll Surg. 2010;210:331–5.CrossRefGoogle Scholar
  2. 2.
    Ricciardi R, Roberts PL, Marcello PW, Hall JF, Read TE, Schoetz DJ. Anastomotic leak testing after colorectal resection. Arch Surg. 2009;144:407–11.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Colorectal Surgery, Department of SurgeryColumbia UniversityNew YorkUSA

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