{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:46:01Z","timestamp":1773269161218,"version":"3.50.1"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1981,5,1]],"date-time":"1981-05-01T00:00:00Z","timestamp":357523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1981,5,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>The complications of 100 stapled anastomoses onto the rectum or anus are reviewed. Anastomotic leakage in very low cases is the major problem; no leak occurred if the anastomosis was performed above 7 cm, but 3 leaks in 17 patients occurred if the anastomosis was performed between 5\u00b75 and 7 cm, and 10 leaks occurred in 52 patients if the anastomoses was less than 5 cm from the anal margin. A covering colostomy is essential for these lower anastomoses, and for those not covered by a colostomy, an immediate colostomy with a distal loop washout is performed, if a leak develops. Attention to technique is mandatory, with a good blood supply, absence of tension and the elimination of the pelvic cavity being of great importance.<\/jats:p>","DOI":"10.1002\/bjs.1800680514","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T21:00:43Z","timestamp":1172869243000},"page":"333-337","source":"Crossref","is-referenced-by-count":108,"title":["The low stapled anastomosis"],"prefix":"10.1093","volume":"68","author":[{"given":"R J","family":"Heald","sequence":"first","affiliation":[{"name":"North Hampshire Group of Hospitals"},{"name":"Royal Naval Hospital , Haslar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Leicester","sequence":"additional","affiliation":[{"name":"North Hampshire Group of Hospitals"},{"name":"Royal Naval Hospital , Haslar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1981,5,1]]},"reference":[{"key":"2024092711255779800_bib1","first-page":"169","article-title":"Recent trends in the practice of sphincter saving excision for rectal cancer","volume":"61","author":"Goligher","year":"1979","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"2024092711255779800_bib2","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1002\/bjs.1800570208","article-title":"Anastomotic dehiscence after anterior resection of rectum and sigmoid","volume":"57","author":"Goligher","year":"1970","journal-title":"Br. J. Surg."},{"key":"2024092711255779800_bib3","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/BF02586712","article-title":"The factors that make low colorectal anastomosis safe","volume":"21","author":"Fazio","year":"1978","journal-title":"Dis. Colon Rectum"},{"key":"2024092711255779800_bib4","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1002\/bjs.1800670311","article-title":"Towards fewer colostomies\u2014the impact of circular stapling devices on the surgery of rectal cancer in a district hospital","volume":"67","author":"Heald","year":"1980","journal-title":"Br. J. Surg."}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800680514","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/68\/5\/333\/37157417\/bjs1800680514.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/68\/5\/333\/37157417\/bjs1800680514.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T11:26:39Z","timestamp":1727436399000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/68\/5\/333\/6185512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,5,1]]},"references-count":4,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1981,5,1]]},"published-print":{"date-parts":[[1981,5,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800680514","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1981,5]]},"published":{"date-parts":[[1981,5,1]]}}}