Anastomotic Leak

Episode overview

An anastomotic leak may not announce itself with dramatic peritonitis. Sometimes persistent tachycardia is the only early clue—and missing it can be catastrophic. In this episode, Chris and Mars break down how anastomotic leaks present, why they commonly appear during the first postoperative week, and how to distinguish a dangerous leak from routine postoperative ileus. You’ll learn why unexplained tachycardia should never be ignored, how tension and inadequate blood supply cause anastomotic failure, when to obtain a CT scan, why unstable patients should go directly toward resuscitation and operative source control, and when a contained leak can be treated with antibiotics and percutaneous drainage.