Abstract
A leakage of acolorectal anastomosis represents asevere complication in visceral surgery. An anastomotic insufficiency (AI) is apotentially life-threatening complication for patients that carries ahigh risk of subsequent complications and long-term stoma care. Numerous factors influence the risk of AI. Knowing and being able to estimate these factors are essential for successful treatment in colorectal surgery as they help determine the surgical strategy. The recognition of an AI can be challenging for practitioners due to the variability in the clinical presentation. If the presence of AI is suspected appropriate diagnostic measures must therefore be taken. If an AI has occurred acolorectal specialist should definitely be involved in the treatment as this can significantly reduce further complications and the rate of permanent stomas.
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