Intraoperative Management of Bleeding at Stapled Side-to-Side Anastomosis

  • Nivedh V. Paluvoi
  • Sang W. Lee


Direct visualization of the staple line for hemorrhage and immediate control of bleeding must be performed for every anastomosis.


Side-to-side stapled anastomosis Staple line bleeding 

Suggested Reading

  1. 1.
    Golda T, Zerpa C, Kreisler E, Trenti L, Biondo S. Incidence and management of anastomotic bleeding after ileocolic anastomosis. Color Dis. 2013;15:1301–8.CrossRefGoogle Scholar
  2. 2.
    Malik JH, East JE, Buchanan GN, Kennedy RH. Endoscopic haemostasis of staple-line haemorrhage following colorectal resection. Color Dis. 2008;1:616–8.CrossRefGoogle Scholar
  3. 3.
    Martinez-Serrano M-A, Pares D, et al. Management of lower gastrointestinal bleeding after colorectal resection and stapled anastomosis. Tech Coloproctol. 2009;13:49–53.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nivedh V. Paluvoi
    • 1
  • Sang W. Lee
    • 2
  1. 1.University of Miami, Department of Surgery, Division of Colorectal SurgeryPasadenaUSA
  2. 2.Department of Surgery – Colon and Rectal SurgeryKeck School of Medicine of University of Southern CaliforniaLos AngelesUSA

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