{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T00:38:15Z","timestamp":1781311095599,"version":"3.54.1"},"reference-count":32,"publisher":"National Library of Serbia","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta chir iugo","ACTA CHIR IUG","ACTA CHIR IUGOSL"],"published-print":{"date-parts":[[2004]]},"abstract":"<jats:p>Anastomotic dehiscence is a serious, life-threatening complication of any rectal anastomosis and may be associated with an increased risk of local cancer recurrence. The leak rate following low anterior resection is in the region of 10% as reported in the recent randomised Dutch rectal cancer trial. Although accurate prediction of risk is impossible, certain factors are known to influence leak rates. There is an inverse relationship between the height of the anastomosis from the anal verge and the leak rate, with the lower anastomoses carrying the highest risk. Proximal defunctioning by a loop stoma mitigates the consequences of leakage and probably reduces, but does not abolish, the risk. There is little difference in rates of dehiscence between stapled and sutured colorectal anastomoses. A short colon pouch may reduce the chance of leakage. The highest risks are in unprotected anastomoses less than 5 cm from the anal verge in men who smoke and\/or drink excessively, particularly if they have received pre-operative chemotherapy or chemo-radiotherapy. A high index of suspicion is required in detecting the early non-specific signs of a leak and urgent surgical intervention is usually required to avert a life-threatening situation. Faecal diversion should be regarded as the optimal safety measure to reduce the consequences of leakage and to mange leakage of an unprotected anastomosis.<\/jats:p>","DOI":"10.2298\/aci0403019m","type":"journal-article","created":{"date-parts":[[2008,11,28]],"date-time":"2008-11-28T15:02:49Z","timestamp":1227884569000},"page":"19-23","source":"Crossref","is-referenced-by-count":11,"title":["Reducing the incidence and managing the consequences of anastomotic leakage after rectal resection"],"prefix":"10.2298","volume":"51","author":[{"given":"B.","family":"Meade","sequence":"first","affiliation":[{"name":"Colorectal Research Unit, North Hampshire Hospital, Basingstoke, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"B.","given":"Moran","family":"Gen","sequence":"additional","affiliation":[{"name":"Colorectal Research Unit, North Hampshire Hospital, Basingstoke, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810850"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00615.x"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054444"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554747"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750509"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554801"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555370"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049147"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(97)00018-5"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820808"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800691019"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.6.608"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2388(199809)15:2<78::AID-SSU4>3"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00601.x"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)91510-2"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/BF02066981"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.8.894"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1996.02057.x"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800831249"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2004.00625.x"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.3.817"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00790.x"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00252-X"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1007\/BF02562579"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1999.01165.x"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1007\/BF02238246"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810852"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1067\/msy.1998.91361"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800781107"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780322"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199607000-00009"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4074"}],"container-title":["Acta chirurgica Iugoslavica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T12:05:39Z","timestamp":1685102739000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0354-950X0403019M"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004]]}},"URL":"https:\/\/doi.org\/10.2298\/aci0403019m","relation":{},"ISSN":["0354-950X","2406-0887"],"issn-type":[{"value":"0354-950X","type":"print"},{"value":"2406-0887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004]]}}}