Management of Anastomotic Leakage after Colorectal Resection: Survey among the German CHIR-Net Centers
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Characteristics of the Participating Centers (Table S1a)
3.2. Perioperative Management (Table S1b)
3.3. Diagnosis of a Leakage of the Colorectal Anastomosis (Table S1c)
3.4. General Aspects of the Management of Colorectal Anastomotic Leakage (Table S1d)
3.5. Management of Colorectal Anastomotic Leakage Based on ISREC Grading in Combination with the Clinical Condition of the Patient, Presence of Ostomy and Bowel Perfusion
3.5.1. Clinical Condition of the Patient and Good Blood Perfusion at the Anastomotic Site
3.5.2. Clinical Condition of the Patient and Poor Perfusion of the Anastomosis
3.6. Methods to Manage a Leaking Colorectal Anastomosis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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ISREC Grade | ASA 1–2; <80Y | Ostomy | Ischemia | Extraperitoneal |
---|---|---|---|---|
B (antibiotics, percutaneous or transanal drainage, transanal lavage) | + * | − | − | +/− |
+ ** | + | − | +/− | |
− | + | − | + | |
C (re-surgery: laparotomy or laparoscopy) | ||||
preservation of the anastomosis | + */− | − | − | +/− |
+ **/− | + | − | +/− | |
+ | + | + | + | |
anastomosis take down | +/− | − | + | +/− |
− | + | + | +/− |
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Șandra-Petrescu, F.; Rahbari, N.N.; Birgin, E.; Kouladouros, K.; Kienle, P.; Reissfelder, C.; Tzatzarakis, E.; Herrle, F. Management of Anastomotic Leakage after Colorectal Resection: Survey among the German CHIR-Net Centers. J. Clin. Med. 2023, 12, 4933. https://doi.org/10.3390/jcm12154933
Șandra-Petrescu F, Rahbari NN, Birgin E, Kouladouros K, Kienle P, Reissfelder C, Tzatzarakis E, Herrle F. Management of Anastomotic Leakage after Colorectal Resection: Survey among the German CHIR-Net Centers. Journal of Clinical Medicine. 2023; 12(15):4933. https://doi.org/10.3390/jcm12154933
Chicago/Turabian StyleȘandra-Petrescu, Flavius, Nuh N. Rahbari, Emrullah Birgin, Konstantinos Kouladouros, Peter Kienle, Christoph Reissfelder, Emmanouil Tzatzarakis, and Florian Herrle. 2023. "Management of Anastomotic Leakage after Colorectal Resection: Survey among the German CHIR-Net Centers" Journal of Clinical Medicine 12, no. 15: 4933. https://doi.org/10.3390/jcm12154933