{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T16:07:40Z","timestamp":1789920460610,"version":"4.0.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1990,10,1]],"date-time":"1990-10-01T00:00:00Z","timestamp":654739200000},"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":[[1990,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A total of 145 consecutive patients receiving a colorectal anastomosis were randomized to \u2018test\u2019 or \u2018no test\u2019 once the anastomosis had been completed. Anastomotic testing was performed with the pelvis filled with saline and the rectum distended by sigmoidoscopic insufflation of air. Any leaks demonstrated were oversewn. A water-soluble contrast enema was performed on the tenth postoperative day. Seventy-four patients were randomized to \u2018test\u2019 and 71 to \u2018no test\u2019 but one patient was withdrawn from each group leaving a total of 143 for analysis. The two groups were well matched for age, sex, diagnosis and operative details. Eighteen (25 per cent) air leaks were detected and repaired in the \u2018test\u2019 group. After operation there were three (4 per cent) clinical leaks in the \u2018test\u2019 group and ten (14 per cent) in the \u2018no test\u2019 group (Fisher's exact test, P = 0.043). There were eight (11 per cent) radiological leaks in the \u2018test\u2019 group and 20 (29 per cent) in the \u2018no test\u2019 group (P = 0.006). Intraoperative air testing and repair of colorectal anastomoses significantly reduces the risk of postoperative clinical and radiological leaks.<\/jats:p>","DOI":"10.1002\/bjs.1800771006","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:41:40Z","timestamp":1172929300000},"page":"1095-1097","source":"Crossref","is-referenced-by-count":144,"title":["Intraoperative air testing of colorectal anastomoses: A prospective, randomized trial"],"prefix":"10.1093","volume":"77","author":[{"given":"J D","family":"Beard","sequence":"first","affiliation":[{"name":"Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary , PO Box 65, Leicester LE2 7LX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M L","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary , PO Box 65, Leicester LE2 7LX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R D","family":"Sayers","sequence":"additional","affiliation":[{"name":"Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary , PO Box 65, Leicester LE2 7LX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary , PO Box 65, Leicester LE2 7LX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N W","family":"Everson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary , PO Box 65, Leicester LE2 7LX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1990,10,1]]},"reference":[{"key":"2024092807420520200_bib1","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1002\/bjs.1800620214","article-title":"A comparison of one layer and two layer techniques for colorectal anastomoses","volume":"62","author":"Everett","year":"1975","journal-title":"Br J Surg"},{"key":"2024092807420520200_bib2","first-page":"911","article-title":"Anastomotic integrity after operations for large bowel cancer: a multicentre study","volume":"281","author":"Fielding","year":"1980","journal-title":"Br Med J"},{"key":"2024092807420520200_bib3","first-page":"158","article-title":"Intra-operative testing of the integrity of left-sided colorectal anastomoses: a technique of value to the surgeon in training","volume":"70","author":"Gilbert","year":"1988","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092807420520200_bib4","first-page":"345","article-title":"Intra-operative air testing: an audit on rectal anastomosis","volume":"70","author":"Davies","year":"1988","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092807420520200_bib5","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1002\/bjs.1800700202","article-title":"Large bowel anastomoses. 1. The healing process and sutured anastomoses. A review","volume":"70","author":"Khoury","year":"1983","journal-title":"Br J Surg"},{"key":"2024092807420520200_bib6","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1002\/bjs.1800640902","article-title":"A controlled comparison of one- and two-layer techniques of suture for high and low colorectal anastomoses","volume":"64","author":"Goligher","year":"1977","journal-title":"Br J Surg"},{"key":"2024092807420520200_bib7","first-page":"405","article-title":"The anastomosis workshop","volume":"63","author":"Bevan","year":"1981","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092807420520200_bib8","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1002\/bjs.1800751018","article-title":"Sensory discrimination and dynamic activity in the anorectum: evidence using a new ambulatory technique","volume":"75","author":"Miller","year":"1988","journal-title":"Br J Surg"},{"key":"2024092807420520200_bib9","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1002\/bjs.1800691210","article-title":"The water-soluble contrast enema after rectal anastomosis","volume":"69","author":"Shorthouse","year":"1982","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.1800771006","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/77\/10\/1095\/59389158\/bjs1800771006.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/77\/10\/1095\/59389158\/bjs1800771006.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T07:42:23Z","timestamp":1727509343000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/77\/10\/1095\/6172546"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,10,1]]},"references-count":9,"journal-issue":{"issue":"10","published-online":{"date-parts":[[1990,10,1]]},"published-print":{"date-parts":[[1990,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800771006","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1990,10]]},"published":{"date-parts":[[1990,10,1]]}}}