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Invited Critique
April 2010

Seek Tricks for Leaks? No Answer in the Mix: Comment on “Risk Factors for Anastomotic Leak Following Colorectal Surgery”

Author Affiliations

Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Surg. 2010;145(4):376. doi:10.1001/archsurg.2010.22

In this useful publication, the Mount Sinai Hospital group refreshes our knowledge about anastomotic leaks (ALs) in colorectal surgery. The group pairs each patient with AL with 2 no-AL patients who underwent the same procedure with the same surgeon. The article reminds us of facts that have not changed much over the last 20 years: (1) the AL rate is 2.6%; (2) most ALs occur about 7 days after the operation; and (3) ileocolic anastomoses leak as frequently as colocolic anastomoses.