Ch.10 - Anast. Complications

Question 1

What is the mortality range for anastomotic leak?

Answer 1

10-15%

Question 2

Leaks that present [early/late] have association with sepsis and multiorgan failure

Answer 2

Early

Question 3

What is the predictive value of abnormal vitals or leukocytosis for anastomotic leak?

What is the sensitivity of CT scan for a leak? What does this tell you when you have a negative scan?

What is the positive predictive value of the CT scan? What about contrast enema?

Answer 3

Only 4-11%

~50%. So even with a negative scan you should be highly vigilant

PPV: 89.5% CT vs 40% for contrast enema

Question 4

Up to how many units can you give for post-op anastomotic bleeding?

The rate of continuous bleeding intraop after stapled anastomosis can be up to what %

Answer 4

Up to 10 units

Up to 10%

Question 5

For colonoscooic bleeding control how much epi of what concentration can you give?

Answer 5

10mL of 1:200,000 epi