Anastomotic leak in colorectal surgery: are 75 % preventable?

Introduction Anastomotic leak (AL) is a significant cause of morbidity and mortality associated with complications of colorectal surgery. Furthermore, AL results in prolonged hospital stays and significant increase in costs of medical resources. Materials and methods In this study, we investigated t...

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Bibliographic Details
Published in:International journal of colorectal disease 2015-11, Vol.30 (11), p.1525-1531
Main Authors: Shekarriz, Hodjat, Eigenwald, Janina, Shekarriz, Bijan, Upadhyay, Jyoti, Shekarriz, Jasmin, Zoubie, Danny, Wedel, Thilo, Wittenburg, Henning
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - adverse effects
Anastomotic Leak - etiology
Colectomy - adverse effects
Colectomy - methods
Female
Gastroenterology
Health aspects
Hepatology
Humans
Internal Medicine
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Mortality
Original Article
Proctology
Rectum - surgery
Retrospective Studies
Risk Factors
Surgery
Surgical Stapling
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Summary:Introduction Anastomotic leak (AL) is a significant cause of morbidity and mortality associated with complications of colorectal surgery. Furthermore, AL results in prolonged hospital stays and significant increase in costs of medical resources. Materials and methods In this study, we investigated the impact of anastomosis technique on the rate of anastomotic leak. The rate of leak was compared between two groups performing end-to-end (E-E) vs. side-to-end (S-E) anastomosis. The impact of various risk factors was also compared between the two groups. Results There were 382 E-E and 363 S-E anastomoses after left colectomy or rectal resections. The anastomotic leak rate was 8.64 % using E-E compared to 1.93 % using S-E anastomosis technique ( p  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-015-2338-z