The reverse leak test for the assessment of low coloanal anastomosis: technical note

  • S. H. Emile
  • S. D. WexnerEmail author
Trick of the Trade


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Conflict of interest

The author(s) declare that they have no competing interests.

Ethical approval

For this type of study ethical approval is not required.

Informed consent

For this type of study formal consent is not required.


  1. 1.
    Vallance A, Wexner S, Berho M, Cahill R, Coleman M, Haboubi N et al (2017) A collaborative review of the current concepts and challenges of anastomoticleaks in colorectal surgery. Colorectal Dis 19(1):O1–O12CrossRefGoogle Scholar
  2. 2.
    Chadi SA, Fingerhut A, Berho M et al (2016) Emerging trends in the etiology, prevention, and treatment of gastrointestinal anastomotic leakage. J Gastrointest Surg 20(12):2035–2051CrossRefGoogle Scholar
  3. 3.
    Wu Z, van de Haar RC, Sparreboom CL et al (2016) Is the intraoperative air leak test effective in the prevention of colorectal anastomotic leakage? A systematic review and meta-analysis. Int J Colorectal Dis 31(8):1409–1417CrossRefGoogle Scholar
  4. 4.
    Li VK, Wexner SD, Pulido N, Wang H, Jin HY, Weiss EG, Nogeuras JJ, Sands DR (2009) Use of routine intraoperative endoscopy in elective laparoscopic colorectal surgery: can it further avoid anastomotic failure? Surg Endosc 23(11):2459–2465CrossRefGoogle Scholar
  5. 5.
    Ricciardi R, Roberts PL, Marcello PW, Hall JF, Read TE, Schoetz DJ (2009) Anastomotic leak testing after colorectal resection: what are the data? Arch Surg 144(5):407–411CrossRefGoogle Scholar
  6. 6.
    Nachiappan S, Askari A, Currie A, Kennedy RH, Faiz O (2014) Intraoperative assessment of colorectal anastomotic integrity: a systematic review. Surg Endosc 28(9):2513–2530CrossRefGoogle Scholar
  7. 7.
    Mizrahi I, Abu-Gazala M, Rickles AS et al (2018) Indocyanine green fluorescence angiography during low anterior resection for low rectal cancer: results of a comparative cohort study. Tech Coloproctol 22(7):535–540CrossRefGoogle Scholar
  8. 8.
    Jafari MD, Wexner SD, Martz JE et al (2015) Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. J Am Coll Surg 220(1):82–92CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Colorectal Surgery Unit, Department of General Surgery, Mansoura Faculty of MedicineMansoura UniversityMansouraEgypt
  2. 2.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA

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