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Document Type

Original Article

Abstract

Background:

A rate of 4-8% of gastrointestinal surgical complications include fistula and anastomotic leakage of the upper gastrointestinal tract. When done for cancer, postoperative leaks following esophagectomy and gastroplasty occur in around 7%-8% of patients.

Aim of the work: The main aim of this study is to reach the ideal management for each leak according to site of the anastomosis. The goal of this update is to present the general principles of diagnosis, and treatment of AL in gastrointestinal surgery, with a specific focus on esophagogastric, bariatric, small bowel and colorectal surgery.

Patient and method: This research was carried out on 100 patients suffering from post-operative anastomotic leak. Patients were managed in Al-Azhar University Hospitals.

Results: 53 (53%) patients in the study group had drainage amounts more than 500 c. There were 18 (18%) research participants with postoperative renal failure. 35 (35%) of the study population's patients had postoperative oliguria. There were 82 (82%) study participants with postoperative leukocytosis. 18 individuals, or 18% of the study group, passed away. In the study population, hospital stays varied from 18 to 33 days, with a mean± SD of 24.7 ±2.96.

Conclusion: Males had higher risk of developing Anastomotic leakage. Postoperative leukocytosis and fever are of concern in Anastomotic leakage. The occurrence of post-operative anastomotic leak, which is connected to poor patient outcomes and higher mortality, is influenced by both patient and surgical variables.

Keywords

Leak; Gastrointestinal surgeries; Management

Subject Area

General Surgery

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