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Invited Critique
April 2010

Seek Tricks for Leaks? No Answer in the MixComment 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.