Evidence map›Paper›PMID 21107847›Full record

ArticleInternational journal of colorectal disease2011

Management and outcome of colorectal anastomotic leaks.

Michael Thornton, Heman Joshi, Chandrakumar Vimalachandran, Richard Heath, Paul Carter, Ufuk Gur, Paul Rooney

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06273826 (The Implementation of the Mobile Application "Colorectal Leakage App", Based on the Dutch Leakage Score, for Early Detection of Anastomotic Leakage After Colorectal Surgeries), which is not on this map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06273826 unknown statusnot on this mapstarted 2024, after this paper: background citation

The Implementation of the Mobile Application "Colorectal Leakage App", Based on the Dutch Leakage Score, for Early Detection of Anastomotic Leakage After Colorectal Surgeries

Typeobservational_patient_registrySponsorNational Research Oncology and Transplantology Center, KazakhstanRan2024 to 2025Enrolled120ConditionsAnastomotic Leak Large Intestine, Anastomotic Leak RectumArms"Colorectal Leakage App"
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Management of anastomotic leak after elective anterior resection for rectal cancer: A systematic review and pooled analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Pooled it
  2. Pooled it
  3. External coating of colonic anastomoses: a systematic review.International journal of colorectal disease · 2012
    Pooled it
  4. Trial
  5. Endoscopic management of colocolonic anastomotic dehiscence: a case report.iGIE : innovation, investigation and insights · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Anastomotic Leak Following Colorectal Surgery.Clinics in colon and rectal surgery · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Michael ThorntonDepartment of Colorectal Surgery, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, UK. mpt@liv.ac.uk
Heman Joshi
Chandrakumar Vimalachandran
Richard Heath
Paul Carter
Ufuk Gur
Paul Rooney
University of Liverpool · GBRoyal Liverpool University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnastomotic leak is a devastating complication of an intestinal anastomosis. Optimal management and outcome is not routinely described, and much of our knowledge relies upon historical data. We wished to examine the management and outcome of anastomotic leaks on a colorectal surgery unit in the twenty-first century.

methodA retrospective audit of all patients who had a colorectal anastomotic leak between January 2002 and December 2008 in a large university teaching hospital. Data collected included patient characteristics, primary diagnosis, mode of diagnosis and time to diagnosis of anastomotic leak, inpatient management, morbidity and mortality, permanent stoma rate, use of hospital resources.

resultsThirty patients (16 male, 14 female), with a median age of 60 years (range 25-84 years), had an anastomotic leak. The median time to presentation of clinically suspected leaks was 12 days (range 3-56 days). Fourteen patients required reoperation, with ten needing the anastomosis take down. Average hospital stay was 40 days. The permanent stoma rate following a rectal anastomotic leak was 27% and 57.1% from a colonic leak. Overall mortality in this series was 27%. Mortality was higher after leak from a colonic anastomosis than after leak from a rectal anastomosis (43.8% vs. 7.1%, respectively).

conclusionsAnastomotic leaks are not detected until late in the post-operative period and are associated with a high mortality. Demand on hospital resources is high. In this series, patients who leaked after a colonic anastomosis had a higher mortality and permanent stoma rate than after leaks from a rectal anastomosis.

Indexed as

AdultAgedAged, 80 and overAnastomosis, SurgicalAnastomotic LeakColonFemaleHealth ResourcesHumansMaleMiddle AgedRectumSurgical StomasTime FactorsTreatment Outcome

Identifiers

PMID21107847
OpenAlexW2048425994

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.