Protection of colonic anastomosis by an intraluminal bypass tube: an experimental study

ABSTRACT

The intracolonic bypass procedure is one that prevents gastrointestinal secretions and faecal content from coming into contact with the anastomotic site without interrupting the intraluminal continuity. This is achieved by the intraluminal implantation of soft, pliable tube above the anastomotic site. In this experiment, 60 Egyptian dogs were operated upon under maximal stress circumstances for colonic leakage. The results of the study showed that this intracolonic bypass tube is an alternative to a temporary colostomy. The study showed that the intracolonic bypass tube would not prevent an anastomotic dehiscence but can prevent anastomotic leakage with its associated complications in situations where dehiscence is more likely to occur