Managing anastomotic leaks from intestinal anastomoses.
A leaking intestinal anastomosis is typically regarded as a devastating post-operative complication. The reported incidence ofanastomotic leakage is highly variable and depends on the definitions used and the anatomical location involved. Early leaks are usually readily diagnosed and aggressive management is warranted. Late leaks may be unrecognised and are likely to be underreported in the literature; diagnosis and treatment in this setting requires a thoughtful, individualised approach.
Hyman
N H
NH
Division of General Surgery, University of Vermont, College of Medicine, Fletcher Allen Health Care, Fletcher House 301, 111 Colchester Avenue Burlington, VT 05401, USA. Neil.Hyman@vtmednet.org
D000714:Anastomosis, Surgical / Q000009:adverse effects; D006801:Humans; D007422:Intestines / Q000601:surgery*; D011183:Postoperative Complications; D012307:Risk Factors