Postoperative imaging after colorectal surgery

Fiche publication


Date publication

juillet 2009

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BOUCHE Olivier


Tous les auteurs :
Hoeffel C, Marcus C, Arrive L, Bouche O, Tubiana JM

Résumé

Surgery for the treatment of colorectal diseases has been evolving rapidly recently. In addition to classical surgical procedures (colectomy, abdominoperineal resection), new surgical procedures include coloproctectomy with creation of an ileoanal anastomosis and ileal pouch, pelvic reconstructions (omentoplasty, placement of myocutaneous flaps) and creation of different colic anastomoses after anterior rectal resection. Even if computed tomography and fluoroscopic contrast examinations are still commonly used to assess postoperative changes and complications, especially infections, pelvic magnetic resonance imaging is useful to depict postoperative changes, detect complications such as fistulas and tumor recurrence in patients who have undergone surgery for primary or recurrent rectal disease. The train surgical techniques, their respective indications and postsurgical imaging features will be discussed. The main complications and imaging work-up will also be reviewed.

Référence

J Radiol. 2009 Jul-Aug;90(7-8 Pt 2):954-68.