How is anastomotic leakage treated?

Management of Anastomotic Leak

1. Antibiotics.
2. Drainage.
3. Stenting.
4. Vacuum Therapy/Endo-Sponge.
5. Surgical Intervention.
6. Minimally Invasive Techniques.

How long does it take for anastomotic leak to heal?

The time to heal was from 20 to 209 days from the diagnosis of anastomotic leak, with a mean healing time of 40 days.

What are the symptoms of an anastomotic leak?

Symptoms of an anastomotic leak include:

• Rapid heart rate.
• Fever.
• Stomach pain.
• Drainage from a surgical wound.
• Nausea and vomiting.
• Pain in the left shoulder area.
• Low blood pressure.
• Decreased urine output.

What is Esophagojejunal anastomosis?

Abstract. Esophagojejunal anastomosis fistula is the main complication after a total gastrectomy. To avoid a complex procedure on friable inflamed perianastomotic tissues, a coated self-expandable stent is mounted at the site of the anastomotic leak.

Can an anastomotic leak cause sepsis?

An anastomotic defect causes leakage of colonic content into the abdominal or pelvic cavity leading to peritonitis, abscess formation or sepsis[2].

How is anastomosis leakage diagnosed?

At present, the standard method for diagnosing anastomotic defect is Hydro-CT-scanning using rectal contrast. This will show the leak in up to 90% of patients and can also diagnose abscesses.

How serious is an anastomotic leak?

Infection in your abdomen can spread to other abdominal organs and can enter your bloodstream. Serious infection can lead to sepsis, a life-threatening physical reaction that can include shock, organ failure or death. Another body channel that can leak into your abdominal cavity is your urine channel.

What does anastomosis mean in medical terms?

An anastomosis is a surgical connection between two structures. It usually means a connection that is created between tubular structures, such as blood vessels or loops of intestine. For example, when part of an intestine is surgically removed, the two remaining ends are sewn or stapled together (anastomosed).

Why is Gastrojejunostomy done?

Gastrojejunostomy may be done during surgery to remove part of the stomach that has cancer blocking the opening into the small intestine. It may also be done as part of weight-loss surgery.

How is anastomotic leak diagnosed?

What are the three types of anastomosis?

There are three types: Arterioarterial anastomosis connects two arteries. Venovenous anastomosis connects two veins. Arteriovenous anastomosis connects an artery to a vein.