Abstract
Intestinal anastomotic leakage represents a major complication in visceral surgery with relevant morbidity and mortality. Based on a literature -search in Medline / PubMed the available data are presented, critically reviewed and summarised. Beside optimisation of surgical technique, patient-dependent risk factors - such as relevant comorbidity, certain medications or previous radiochemotherapy - play a major role in the development of anastomotic leak-age. The effort for optimisation of these patient-dependent risk factors is not incorporated within the compensation scheme in German hospitals.
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