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Published in:

01-06-2008

Standardized Algorithms for Management of Anastomotic Leaks and Related Abdominal and Pelvic Abscesses After Colorectal Surgery

Authors: R. Phitayakorn, C. P. Delaney, H. L. Reynolds, B. J. Champagne, A. G. Heriot, P. Neary, A. J. Senagore, International Anastomotic Leak Study Group

Published in: World Journal of Surgery | Issue 6/2008

Abstract

Background

The risk factors and incidence of anastomotic leak following colorectal surgery are well reported in the literature. However, the management of the multiple clinical scenarios that may be encountered has not been standardized.

Methods

The medical literature from 1973 to 2007 was reviewed using PubMed for papers relating to anastomotic leaks and abdominal abscess, with a specific emphasis on predisposing factors, prevention strategies, and treatment approaches. A six-round modified Delphi research method was utilized to find consensus among a group of expert colorectal surgeons and interventional radiologists regarding standardized management algorithms for anastomotic leaks.

Results

Management scenarios were divided into those for intraperitoneal anastomoses, extraperitoneal (low pelvic) anastomoses, and anastomoses with proximal diverting stomas. Management options were then based on the clinical presentation and radiographic findings and organized into three interconnected algorithms.

Conclusions

This process was a useful first step toward establishing guidelines for the management of anastomotic leak.

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Title: Standardized Algorithms for Management of Anastomotic Leaks and Related Abdominal and Pelvic Abscesses After Colorectal Surgery
Authors: R. Phitayakorn
C. P. Delaney
H. L. Reynolds
B. J. Champagne
A. G. Heriot
P. Neary
A. J. Senagore
International Anastomotic Leak Study Group
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 6/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9468-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Standardized Algorithms for Management of Anastomotic Leaks and Related Abdominal and Pelvic Abscesses After Colorectal Surgery

Abstract

Background

Methods

Results

Conclusions

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Abstract

Background

Methods

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