Early Detection and Management of Anastomotic Leakage after Colorectal Surgery

Document Type : Original Article

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General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Abstract

Background: The failure of colorectal anastomoses can result in severe immediate and long-term repercussions, such as extended hospital stays, additional interventions, and elevated morbidity and mortality.
Aim of the work: To detect anastomotic leakage (AL) early after colorectal resection (CAL)  and manage it with conservative or surgical intervention according to the case.
Patients and methods This prospective study was carried out on 30 patients presented by AL after colorectal surgery who underwent surgery in the department of surgery of Al-Azhar university hospitals. All patients were divided into 2 groups: Group I (n=6):  patients had AL (20%). Group II (n=24): patients without AL (80%).
Results: Univariate logistic regression analysis was done to predict the occurrence of the anastomosis leakage. None of tested parameters could significantly predict occurrence of anastomosis leakage.  
Conclusions: Early detection of AL after CAL had an efficient role after CAL. Total leucocyte count (TLC) and C-reactive protein (CRP) will be insightful in detection of AL with high sensitivity in the first 5 days after leakage. Our study parameters cannot predict AL after CAL.

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