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International Journal of Colorectal Disease

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01-11-2015 | Original Article

Anastomotic leak in colorectal surgery: are 75 % preventable?

Authors: Hodjat Shekarriz, Janina Eigenwald, Bijan Shekarriz, Jyoti Upadhyay, Jasmin Shekarriz, Danny Zoubie, Thilo Wedel, Henning Wittenburg

Published in: International Journal of Colorectal Disease | Issue 11/2015

Abstract

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 < 0.001).

Conclusions

These results indicate that the rate of anastomotic leak after left colon and rectum resections could be significantly reduced utilizing S-E anastomosis technique.

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Title: Anastomotic leak in colorectal surgery: are 75 % preventable?
Authors: Hodjat Shekarriz
Janina Eigenwald
Bijan Shekarriz
Jyoti Upadhyay
Jasmin Shekarriz
Danny Zoubie
Thilo Wedel
Henning Wittenburg
Publication date: 01-11-2015
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 11/2015
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-015-2338-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anastomotic leak in colorectal surgery: are 75 % preventable?

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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