Overview
Injury to the descending colon can occur during surgical procedures or due to trauma. Management strategies aim to restore bowel continuity and prevent complications such as anastomotic leakage.Diagnosis
Management
Primary anastomosis without a protective stoma can be considered in emergency left colon surgery 1.
Primary anastomosis without a protective stoma is associated with a higher incidence of anastomotic leakage compared to stoma surgery 1.Special Populations
Key Recommendations
Primary anastomosis without a protective stoma is generally safe and can be considered a viable option in emergency left colon surgery 1. (Evidence: Moderate)
Primary anastomosis without a protective stoma is associated with an increased risk of anastomotic leakage compared to stoma surgery in emergency left colon procedures 1. (Evidence: Moderate)References
1 Wang Z, Sheng W, Dai S, Li X, Lin G, Kang X. The Safety of Primary Anastomosis Without Protective Stoma in Emergency Left Colon Surgery: A Meta-Analysis. Journal of investigative surgery : the official journal of the Academy of Surgical Research 2025. link