Managing anastomotic leaks from intestinal anastomoses

A leaking intestinal anastomosis is typically regarded as a devastating post-operative complication. The reported incidence of anastomotic leakage is highly variable and depends on the definitions used and the anatomical location involved. Early leaks are usually readily diagnosed and aggressive management is warranted. Late leaks may be unrecognised and are likely to be underreported in the literature; diagnosi's and treatment in this setting requires a thoughtful, individualised approach.