COMPRES: A prospective postmarketing evaluation of the compression anastomosis ring CAR 27/ColonRing

  • A. D'Hoore
  • , M. R. Albert
  • , S. M. Cohen
  • , F. Herbst
  • , I. Matter
  • , K. Van Der Speeten
  • , J. Dominguez
  • , H. Rutten
  • , J. P. Muldoon
  • , O. Bardakcioglu
  • , A. J. Senagore
  • , R. Ruppert
  • , S. Mills
  • , M. J. Stamos
  • , L. Påhlman
  • , E. Choman
  • , S. D. Wexner
  • , behalf of the COMPRES collaborative study group On behalf of the COMPRES collaborative study group

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Aim: Preclinical studies have suggested that nitinol-based compression anastomosis might be a viable solution to anastomotic leak following low anterior resection. A prospective multicentre open label study was therefore designed to evaluate the performance of the ColonRing in (low) colorectal anastomosis. Method: The primary outcome measure was anastomotic leakage. Patients were recruited at 13 different colorectal surgical units in Europe, the United States and Israel. Institutional review board approval was obtained. Results: Between 21 March 2010 and 3 August 2011, 266 patients completed the study protocol. The overall anastomotic leakage rate was 5.3% for all anastomoses, including a rate of 3.1% for low anastomoses. Septic anastomotic complications occurred in 8.3% of all anastomoses and 8.2% of low anastomoses. Conclusion: Nitinol compression anastomosis is safe, effective and easy to use and may offer an advantage for low colorectal anastomosis. A prospective randomized trial comparing ColonRing with conventional stapling is needed.

Original languageEnglish (US)
Pages (from-to)522-529
Number of pages8
JournalColorectal Disease
Volume17
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Keywords

  • Anastomotic leakage
  • Compression anastomosis
  • Low anterior resection

ASJC Scopus subject areas

  • Gastroenterology

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