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An anastomotic leak occurs when a surgical anastomosis fails and contents of a reconnected body channel leak from the connection The sequelae of an anastomotic leak vary but generally correlate with the need for a change in clinical management, from minimal changes to the need for reoperation Anastomotic leaks are the most important complication to recognise following gastrointestinal surgery
Early diagnosis, resuscitation and treatment of an anastomotic leak is key. Leak rates range from 1 to 3% for ileocolonic, 0.5 to 18% for colorectal, and 5 to 19% for coloanal anastomoses Clinically stable patients often benefit from a nonoperative approach utilizing antibiotics with or without percutaneous drainage
Colonic anastomotic leaks can occur in the early or late postoperative phase when an enteric anastomosis fails
This results in the leak of intraluminal content extraluminally 4 Its rapid onset and association with severe infections and systemic complications make it a critical condition that requires prompt diagnosis and aggressive treatment. Find out what you need to know about anastomotic leaks, their usual symptoms, causes, and how they’re treated.
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