ANASTOMOTIC LEAK AFTER ELECTIVE COLORECTAL SURGERY: OUR EXPERIENCE

*Ahmed Ahmed and *Ayan Banerjea

ABSTRACT

Background: Anastomotic leak is still one of the most devastating complications leading to high morbidity and mortality rates in recent decades. Knowledge about predictors, CT scan Complication detection, clinical diagnosis, risk factors to CAL is vital to its early detection, decision making for surgical time, managing preoperative risk factors, and postoperative complications. Objective: The purpose of this study was to identify patient, utilities, predictors, risk factors that may predispose patients to anastomotic leak after colorectal surgery. Methods: This was a prospective observational, quality improvement study in 182 patients undergoing colorectal resection in a single institution with the main outcome being anastomotic leakage (AL) within 30 days postoperatively. Results: Of the 182 patients. The mean age of the patients was 61±17, male 56% and the mean body mass index was 25.9 kg/m2. Of them, 41.2 % (75) patients had colo-colic surgery, 24.7% (45) had entero-enteric surgery and 34.06% (62) patients had ileo-colic surgery. Of all 11 (9+2) patients, 10 were diagnosed with anastomotic leak clinically. Complications detected on CT scan: ileus, leak, collection (pelvic, intra-abdominal), bowel perforation, wound infection, adhesion bowel obstruction. Conclusions: Multiple clinical predictors, Ct utilities, surgical intervention should be considered before and during the surgical care of colorectal patients.

Keywords: Colorectal surgery, CT modality, Complications, Postoperative care, Anastomotic leakage, early detection.