Csendes et al classified an anastomotic leak from an esophagojejunostomy following a total gastrectomy for gastric cancer. The authors are from the University of Chile in Santiago.
Identification of a leak may involve:
(1) methylene blue or other nontoxic dye administered orally
(2) oral contrast media with imaging study
Types of anastomotic leakage:
(1) subclinical (type I)
(2) clinical (type II)
Subclinical - local collection with all of the following:
(1) no spillage into the peritoneal cavity
(2) no spillage into the pleural cavity
(3) no dye or contrast material from any of the abdominal drains
(4) no septic complications
Clinical - one or more of the following:
(1) spillage into the peritoneal cavity
(2) spillage into the pleural cavity
(3) dye or contrast material in any of the abdominal drains
(4) other leakage or dissemination
(5) septic complications
Mortality was 5% with a type I leak vs 78% for a type II.
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Purpose: To classify an anastomotic leak following a total gastrectomy with esophagojejunostomy based on the report of Csendes et al.
Specialty: Gastroenterology, Surgery, orthopedic, Surgery, general
Objective: criteria for diagnosis, complications
ICD-10: Z98.0, C16.9, K91.8,