Anastomotic leaks in gastrointestinal surgery and their prevention

• Authors: Tomasz Banasiewicz , Adam Dziki , Paweł Lampe , Zbigniew Lorenc , Marek Szczepkowski , Jacek Zieliński , Grzegorz Wallner

Abstracts

EN

Anastomotic leak in the gastrointestinal tract is one of the most important complications of resection. They are the main cause of reoperation, their occurrence worsens the prognosis of the patient, increasing the proportion of direct mortality, as well as being a significant risk factor for recurrence of cancer. The risk of leaks within the gastrointestinal tract is greatly varied, depending on the location and extent of the resection, but also on patient, disease or a surgical procedure, including surgeon. To determine the potential risk of leakage can be significant for introduction some prophylactic actions. Some of them have the character of general recommendations, as proper nutrition of the patient in the perioperative period, while another part is directly connected to the surgical procedure. The second group includes protective stoma, the use of tissue glues, insertion transrectal drain for rectal anastomosis decompression, the use of stents or the use of collagen matrix coated with fibrinogen and thrombin. Important to reduce the proportion of leaks can be more precise and targeted prophylactic recommendations, based on the individualized determination of risk factors leaks. Further research for this purpose are necessary for this purpose, the big hope can be associated with data obtained through mobile applications.

Keywords

EN

GI tract anastomosis; anastomotic leak; protective stoma; fibrin glue; perioperative nutrition; collagen matrix coated with the fibrynogen and thrombin

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2017
• Volume: 89(2)
• Pages: 49-56

Contributors

author

Tomasz Banasiewicz

author

Adam Dziki

author

Paweł Lampe

author

Zbigniew Lorenc

author

Marek Szczepkowski

author

Jacek Zieliński

author

Grzegorz Wallner

Identifiers

DOI

10.5604/01.3001.0009.8979