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Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons
AIM: To determine the level of consensus on the definition of colorectal anastomotic leakage (CAL) among Dutch and Chinese colorectal surgeons. METHODS: Dutch and Chinese colorectal surgeons were asked to partake in an online questionnaire. Consensus in the online questionnaire was defined as > 8...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597509/ https://www.ncbi.nlm.nih.gov/pubmed/28970733 http://dx.doi.org/10.3748/wjg.v23.i33.6172 |
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author | van Rooijen, Stefanus J Jongen, Audrey CHM Wu, Zhou-Qiao Ji, Jia-Fu Slooter, Gerrit D Roumen, Rudi MH Bouvy, Nicole D |
author_facet | van Rooijen, Stefanus J Jongen, Audrey CHM Wu, Zhou-Qiao Ji, Jia-Fu Slooter, Gerrit D Roumen, Rudi MH Bouvy, Nicole D |
author_sort | van Rooijen, Stefanus J |
collection | PubMed |
description | AIM: To determine the level of consensus on the definition of colorectal anastomotic leakage (CAL) among Dutch and Chinese colorectal surgeons. METHODS: Dutch and Chinese colorectal surgeons were asked to partake in an online questionnaire. Consensus in the online questionnaire was defined as > 80% agreement between respondents on various statements regarding a general definition of CAL, and regarding clinical and radiological diagnosis of the complication. RESULTS: Fifty-nine Dutch and 202 Chinese dedicated colorectal surgeons participated in the online survey. Consensus was found on only one of the proposed elements of a general definition of CAL in both countries: ‘extravasation of contrast medium after rectal enema on a CT scan’. Another two were found relevant according to Dutch surgeons: ‘necrosis of the anastomosis found during reoperation’, and ‘a radiological collection treated with percutaneous drainage’. No consensus was found for all other proposed elements that may be included in a general definition. CONCLUSION: There is no universally accepted definition of CAL in the Netherlands and China. Diagnosis of CAL based on clinical manifestations remains a point of discussion in both countries. Dutch surgeons are more likely to report ‘subclinical’ leaks as CAL, which partly explains the higher reported Dutch CAL rates. |
format | Online Article Text |
id | pubmed-5597509 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-55975092017-10-02 Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons van Rooijen, Stefanus J Jongen, Audrey CHM Wu, Zhou-Qiao Ji, Jia-Fu Slooter, Gerrit D Roumen, Rudi MH Bouvy, Nicole D World J Gastroenterol Observational Study AIM: To determine the level of consensus on the definition of colorectal anastomotic leakage (CAL) among Dutch and Chinese colorectal surgeons. METHODS: Dutch and Chinese colorectal surgeons were asked to partake in an online questionnaire. Consensus in the online questionnaire was defined as > 80% agreement between respondents on various statements regarding a general definition of CAL, and regarding clinical and radiological diagnosis of the complication. RESULTS: Fifty-nine Dutch and 202 Chinese dedicated colorectal surgeons participated in the online survey. Consensus was found on only one of the proposed elements of a general definition of CAL in both countries: ‘extravasation of contrast medium after rectal enema on a CT scan’. Another two were found relevant according to Dutch surgeons: ‘necrosis of the anastomosis found during reoperation’, and ‘a radiological collection treated with percutaneous drainage’. No consensus was found for all other proposed elements that may be included in a general definition. CONCLUSION: There is no universally accepted definition of CAL in the Netherlands and China. Diagnosis of CAL based on clinical manifestations remains a point of discussion in both countries. Dutch surgeons are more likely to report ‘subclinical’ leaks as CAL, which partly explains the higher reported Dutch CAL rates. Baishideng Publishing Group Inc 2017-09-07 2017-09-07 /pmc/articles/PMC5597509/ /pubmed/28970733 http://dx.doi.org/10.3748/wjg.v23.i33.6172 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Observational Study van Rooijen, Stefanus J Jongen, Audrey CHM Wu, Zhou-Qiao Ji, Jia-Fu Slooter, Gerrit D Roumen, Rudi MH Bouvy, Nicole D Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons |
title | Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons |
title_full | Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons |
title_fullStr | Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons |
title_full_unstemmed | Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons |
title_short | Definition of colorectal anastomotic leakage: A consensus survey among Dutch and Chinese colorectal surgeons |
title_sort | definition of colorectal anastomotic leakage: a consensus survey among dutch and chinese colorectal surgeons |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597509/ https://www.ncbi.nlm.nih.gov/pubmed/28970733 http://dx.doi.org/10.3748/wjg.v23.i33.6172 |
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