TITLE:
Narrow Band Imaging Can Be Used for Anastomotic Assessment
AUTHORS:
Ahmed Z. Kaleem, Nabish Naheed, Syed M. Ahmad
KEYWORDS:
Anastomotic Leak, Colorectal Surgery, Anastomotic Assessment
JOURNAL NAME:
Surgical Science,
Vol.7 No.2,
February
29,
2016
ABSTRACT: Background: Anastomotic leak is the most dreaded complication and it
accounts for one third of post-operative deaths in colorectal surgery. There is
strong need of research in this field in order to reduce anastomotic leak rate.
If there was a test available to signify probability of leak at the time of
surgery, it would potentially avoid a leak at a later date. Aim: We propose
that intra operative use of narrow band imaging colonoscopy in left sided
colonic anastomosis can predict and detect anastomosis related problems,
problems i.e. vascularity,
anastomotic lumen patency and rigidness of anastomosis which in turn lead to
correction at the time of surgery resulting in significant decrease in
anastomotic leak rate associated with morbidity and mortality. Methodology: A
pilot, single blind, prospective, randomised controlled trial. Aim is to divide
patient in 2 groups, containing 15 patients in each group. One group will be
assessed by intra-operative NBI colonoscopy and other with standard technique. Analysis:
This will be performed using SPSS with the help of statistician. Significance: This
area of research is particularly important because it improves survival by
reducing morbidity and mortality associated with anastomotic leak. If a leak is
avoided then it does not only mean early recovery but it also saves NHS in
terms of ICU care, NHS bed, inpatient nursing care and home help, unfortunately
all required if leak is to occur. As a result, this research will have better
financial implication with significantly improve patient care.