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Prevention and Treatment of Major Complications After Left Colon, Sigmoid, and Rectal Surgery

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Treatment of Postoperative Complications After Digestive Surgery

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Abstract

Anastomotic complications after colorectal surgery are unfortunate. The determinants of anastomotic healing include both general patients and disease-related conditions. Malnutrition (especially albumin <2.0 g/dl or recent weight loss >15 %), DM, radiation, shock, blood loss, and immune deficiency are among the many factors for anastomosis leak. These conditions should be taken into account when deciding whether or not to perform a primary anastomosis or an end colostomy and Hartmann’s stump or mucous fistula.

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Digestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA

    Cesar Reategui & Badma Bashankaev

  2. Department of Colorectal Surgery, Digestive Disease Center, Cleveland Clinic Florida, Academic Affairs Florida Atlantic University College of Medicine, Clinical Education Florida International University College of Medicine, Weston, FL, USA

    Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS(Ed)

Authors
  1. Cesar Reategui
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  2. Badma Bashankaev
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  3. Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS(Ed)
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Corresponding author

Correspondence to Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS(Ed) .

Editor information

Editors and Affiliations

  1. Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands

    Miguel A. Cuesta

  2. Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands

    H. Jaap Bonjer

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Reategui, C., Bashankaev, B., Wexner, S.D. (2014). Prevention and Treatment of Major Complications After Left Colon, Sigmoid, and Rectal Surgery. In: Cuesta, M., Bonjer, H. (eds) Treatment of Postoperative Complications After Digestive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4354-3_19

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  • DOI: https://doi.org/10.1007/978-1-4471-4354-3_19

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4353-6

  • Online ISBN: 978-1-4471-4354-3

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