OBJECTIVE: The aim of this study was to identify the mode of presentation of patients with clinical anastomotic leaks following restorative colorectal resection for carcinoma. PATIENTS AND METHODS: Prospective information was collected on all patients having restorative resection of colorectal cancer. These data were reviewed for a five-year period (1994-1998) to identify all patients who had suffered a clinical anastomotic leak and their notes were retrieved and reviewed. RESULTS: Three hundred and seventy-nine patients underwent restorative resection for colorectal cancer during the study period (178 female, 201 male), mean age 70 years (range 36-94). There were 22 (6%) clinical anastomotic leaks. Seven (32%) patients presented with obvious abdominal peritonitis. The remaining 15 (68%) were initially misdiagnosed. Thirteen (59%) patients were treated for cardiac symptoms, 1 (5%) patient for obstruction and 1 (5%) for ascites. The delay in diagnosis ranged from 0 to 11 days (mean 4 days). For the whole series of 379 there were 30 patients who suffered cardiac symptoms (8%) 13(43%) of whom had an anastomotic leak. CONCLUSION: Patients who develop cardiac symptoms following restorative colorectal resection for carcinoma should have a water soluble enema as there is a 40% chance that they will have an anastomotic leak.
OBJECTIVE: The aim of this study was to identify the mode of presentation of patients with clinical anastomotic leaks following restorative colorectal resection for carcinoma. PATIENTS AND METHODS: Prospective information was collected on all patients having restorative resection of colorectal cancer. These data were reviewed for a five-year period (1994-1998) to identify all patients who had suffered a clinical anastomotic leak and their notes were retrieved and reviewed. RESULTS: Three hundred and seventy-nine patients underwent restorative resection for colorectal cancer during the study period (178 female, 201 male), mean age 70 years (range 36-94). There were 22 (6%) clinical anastomotic leaks. Seven (32%) patients presented with obvious abdominal peritonitis. The remaining 15 (68%) were initially misdiagnosed. Thirteen (59%) patients were treated for cardiac symptoms, 1 (5%) patient for obstruction and 1 (5%) for ascites. The delay in diagnosis ranged from 0 to 11 days (mean 4 days). For the whole series of 379 there were 30 patients who suffered cardiac symptoms (8%) 13(43%) of whom had an anastomotic leak. CONCLUSION:Patients who develop cardiac symptoms following restorative colorectal resection for carcinoma should have a water soluble enema as there is a 40% chance that they will have an anastomotic leak.
Authors: M G Pramateftakis; G Vrakas; P Hatzigianni; T Tsachalis; I Matzoros; E Christoforidis; D Raptis; G Roidos; C Lazaridis Journal: Tech Coloproctol Date: 2010-11 Impact factor: 3.781
Authors: Michael Thornton; Heman Joshi; Chandrakumar Vimalachandran; Richard Heath; Paul Carter; Ufuk Gur; Paul Rooney Journal: Int J Colorectal Dis Date: 2010-11-25 Impact factor: 2.571
Authors: Nuno J G Rama; Marlene C C Lages; Maria Pedro S Guarino; Óscar Lourenço; Patrícia C Motta Lima; Diana Parente; Cândida S G Silva; Ricardo Castro; Ana Bento; Anabela Rocha; Fernando Castro-Pocas; João Pimentel Journal: World J Gastroenterol Date: 2022-06-28 Impact factor: 5.374
Authors: M S Scepanovic; B Kovacevic; V Cijan; A Antic; Z Petrovic; R Asceric; I Krdzic; V Cuk Journal: Tech Coloproctol Date: 2013-04-26 Impact factor: 3.781
Authors: A Doeksen; P J Tanis; A F J Wüst; B C Vrouenraets; J J B van Lanschot; W F van Tets Journal: Int J Colorectal Dis Date: 2008-06-17 Impact factor: 2.571