ISSN: 2044-9038 (Print) 2044-9046 (Electronic)

Clinical Practice

Anastomotic-leak-review-articles.php

103 Anastomotic leaks are defined as 'leakage of light from surgical joints.' After gastrointestinal surgery, they are the most important complication to recognise. Early diagnosis, resuscitation, and anastomotic leak treatment are key. Delay leads to prolonged luminal content contamination of the abdomen or chest, leading to severe sepsis and progression to multi-organ failure, and death. It is important to remember that any patient who does not progress as expected or who deteriorates after surgery should be treated as having an anastomotic leak until otherwise proven. Anastomotic leakage was defined as any clinical signs of leakage that were confirmed by radiological examination, endoscopy, clinical anastomosis examination (i.e., anastomosis palpation), or reoperation. The leakages were retrospectively graded according to Rahbari et al.'s proposed system. Anastomosis takedown has been defined as interrupting bowel continuity and forming a stoma. The blood loss was the amount the anesthetic nurse reported in the course of surgery.

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