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Anastomotic Complications

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The ASCRS Textbook of Colon and Rectal Surgery

Abstract

Anastomotic complications are among the most feared and difficult problems that colorectal surgeons commonly encounter in clinical practice. The consequences of a failed intestinal anastomosis can be devastating to the patient, family, and surgeon alike. Management commonly results in prolonged hospitalization with considerable suffering and associated cost, making it among the most critical of postoperative outcomes.

Stricture is a relatively frequent delayed complication of colorectal or pouch-anal anastomosis and may be managed in most circumstances with nonoperative approaches. Bleeding following stapled colorectal, colonic, or intestinal anastomosis is usually self-limited, and the majority of cases resolve spontaneously with expectant management.

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Authors and Affiliations

  1. Section of Colon and Rectal Surgery, University of Chicago Medicine, 5841 S Maryland Ave-MC 5095, Chicago, IL, 60637, USA

    Konstantin Umanskiy MD, FACS, FASCRS & Neil Hyman MD, FACS, FASCRS

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  1. Konstantin Umanskiy MD, FACS, FASCRS
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  2. Neil Hyman MD, FACS, FASCRS
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Corresponding author

Correspondence to Neil Hyman MD, FACS, FASCRS .

Editor information

Editors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Case Medical Center Case Western Reserve University, Cleveland, OH, USA

    Scott R. Steele

  2. Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. Tufts University School of Medicine, Lahey Hospital & Medical Center, Burlington, MA, USA

    Thomas E. Read

  4. Ambrose and Gladys Bowyer, Loyola University, Chicago, IL, USA

    Theodore J. Saclarides

  5. University of Texas Medical Branch at Galveston, Galveston, TX, USA

    Anthony J. Senagore

  6. Ochsner Medical Center, New Orleans, LA, USA

    Charles B. Whitlow

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Umanskiy, K., Hyman, N. (2016). Anastomotic Complications. In: Steele, S.R., Hull, T.L., Read, T.E., Saclarides, T.J., Senagore, A.J., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25970-3_10

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