Publications by authors named "Nour Helwa"
Hepatobiliary anastomotic leakage: a narrative review of definitions, grading systems, and consequences of leaks.
Transl Gastroenterol Hepatol
September 2024
Article Synopsis
- - The study addresses the ongoing challenges of hepatobiliary diseases, particularly focusing on postoperative complications like anastomotic leaks (ALs), which include pancreatic fistulae and bile leaks that can pose significant risks to patient health and incur high costs to healthcare systems.
- - A comprehensive literature review was conducted across multiple databases to analyze existing definitions and grading systems for ALs in hepato-pancreato-biliary (HPB) procedures, revealing a lack of universally accepted standards in the field.
- - Key findings from the review highlight the inconsistency in reported incidences of complications, while also pointing to the ISGPS and ISGLS guidelines as the leading definitions for classifying postoperative pancreatic fistulas and bile leaks, respectively.
Article Synopsis
- Anastomotic leaks (ALs) are a common and serious complication after surgery, particularly in colorectal procedures, occurring in up to 30% of cases and leading to prolonged hospital stays and additional treatments.
- Despite the importance of this issue, there is still no universally accepted definition or grading system for ALs, which complicates the consistency of reported data and outcomes.
- The study reviewed existing literature to highlight challenges in defining and grading ALs, and to emphasize their significant burden on patients and healthcare systems, noting that the International Study Group of Rectal Cancer provides the most recommended definition to date.*
Introduction: Anastomotic leaks (ALs) are serious postoperative complications. Current experimental studies designed to investigate leaks are based on acute intraoperative dehiscence of the anastomosis. Clinically, however, AL usually happens later in the postoperative course.
View Article and Find Full Text PDFAnastomotic leaks (AL) and staple line leaks are a serious post-operative complication that can develop following bariatric surgery. The delay in the onset of symptoms following a leak usually results in reactive diagnostics and treatment, leading to increased patient morbidity and mortality, and a clinical and economic burden on both the patient and the hospital. Despite support in literature for pH as a biomarker for early detection of AL, the current methods of pH detection require significant clinician involvement and resources.
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