The anastomotic leak (AL) is a very serious complication in colorectal surgery not only because of its severity but its frequency. Other facet for study, besides the risk factor and prevention, is the AL early diagnostic, due to minimize the clinical consequences and severity; and avoid the failure-to-recue. Several studies analyze the Creactive protein (CRP) and Procalcitonine (PCT) usefulness in AL predictor before the clinical signs appear. At a prospective observational study carry on our center, it concluded that CRP at 3rd day after surgery over 15mg/dl was a very important AL predictor, even before the clinical changes appear. The aim of this study is minimize the severity complications and the mortality due to AL appears. The aim of this study is minimize the severity complications and the mortality due to AL by means of introduces an upgrade program in which a CT scan will be conduct in all the patients with high CRP levels at 3rd, 4th or 5th postoperative day, with the goal to know the AL early and make all the therapeutic step to minimize the consequences.
Study Type
OBSERVATIONAL
Enrollment
104
Early diagnosis. Upgrade program implementation.
- Hospital Morales Meseguer
Murcia, Spain
RECRUITINGSeverity of morbidity
Number of reoperations, readmissions for infections associated or other medical complications, terminal stomata
Time frame: 1 year
Severity of mortality
Number of related exits
Time frame: 1 year
- Compare hospital stay and ICU stay of patients undergoing elective colorectal surgery before and after the improvement program.
Time frame: 1 year
- Evaluate the difference in the incidence of anastomosis leak after the implementation of the improvement program
Time frame: 1 year
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