Abstract
Anastomotic haemorrhage during the early postoperative period is a real challenge for medical staff because it often requires surgical revision and/or blood transfusion. This complication is probably underestimated and no consensus has been established for treatment. We propose early endoscopic examination of the fresh anastomosis in cases of rectal evacuation of clots or poor haemodynamic tolerance or haemodynamic instability. Emergency endoscopy with anastomotic examination and, in cases of active haemorrhage, sclerosis is feasible with no danger for stapled anastomoses.
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