Anastomotic leaks are common in colorectal surgery1 and serve as a significant driver of mortality and cost.2 Efforts at reducing the incidence of leaks have been most successful when nutritional deficits are addressed before surgery and when the construction of an end or diverting stoma is considered in patients perceived to be at higher risk for a leak.3 However, diversion does not prevent a radiographic leak, and it may not avoid a clinical leak either.
Stewart DB. Transanal Drainage Tubes—Prevention of Leaks or Unnecessary Sump? JAMA Surg. 2021;156(12):1158–1159. doi:10.1001/jamasurg.2021.4569
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