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      Risk Factors for Anastomotic Leak, Consideration for Proximal Diversion, and Appropriate Use of Drains.

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          Abstract

          Anastomotic leaks are a major source of morbidity after colorectal surgery. There is a myriad of risk factors that may contribute to anastomotic leaks. These risk factors can be categorized as modifiable, nonmodifiable, and intraoperative factors. Identification of these risk factors allows for preoperative optimization that may minimize the risk of anastomotic leak. Knowledge of such high-risk features may also affect intraoperative decision-making regarding the creation of an anastomosis, consideration for proximal diversion, or placement of a drain. A thorough understanding of the interplay between risk factors, indications for proximal diversion, and utility of drain placement is imperative for colorectal surgeons.

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          Author and article information

          Journal
          Clin Colon Rectal Surg
          Clinics in colon and rectal surgery
          Georg Thieme Verlag KG
          1531-0043
          1530-9681
          Nov 2021
          : 34
          : 6
          Affiliations
          [1 ] Division of Colon and Rectal Surgery, Department of Surgery, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts.
          Article
          01092
          10.1055/s-0041-1735266
          8610643
          34853556
          b106f2d7-090e-4bce-8c75-4f2e5a2e0793
          History

          anastomotic leak,pelvic drains,proximal diversion,risk factors

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