Anastomotic Leak Consensus

Co-Moderator(s)

• 

  Patricia Sylla, MD (she/her/hers)

  Chief of Colorectal Surgery
  Icahn School of Medicine at Mount Sinai
  Icahn School of Medicine at Mount Sinai
  New York, New York, United States

  All relevant financial disclosures have been managed and will be listed below.
  Exero Medical: Consultant (Ongoing); Johnson & Johnson: Consultant (Ongoing); Safeheal: Consultant (Ongoing); Stryker: Consultant (Ongoing); Tissium: Consultant (Ongoing)
• MB

  Marylise Boutros, MD (she/her/hers)

  Professor of Surgery
  Dr Marylise Boutros - Colorectal Surgeon, Cleveland Clinic Florida Professor of Surgery, McGill University, Montreal, Canada
  McGill University
  Weston, Florida, United States

  All relevant financial disclosures have been managed and will be listed below.
  Johnson & Johnson: Honoraria (Ongoing); Stryker & Stryker: Honoraria (Ongoing)

CME Credit: 0.75
Self-Assessment Credit: 0.75
Contact Hours: 0.75

Anastomotic leaks are the most frequently reported major complication following colorectal resections. Significant heterogeneity in reported leak rates complicates efforts to identify risk factors and measure the efficacy of preoperative and/or intraoperative interventions to reduce leaks. This heterogeneity stems from a lack of consensus regarding reporting leaks. In this symposium, the results of the Consensus Reporting of Colorectal Anastomotic Leaks (CoReAL) project will be presented. This ASCRS-funded project aimed to develop an evidence-based standardized reporting framework for assessing and grading anastomotic leaks in colorectal surgery. If widely accepted and implemented by the surgical community, this novel framework could serve to de-stigmatize the reporting of leaks in the early and late postoperative period, reduce delays in care, and improve patient outcomes. An international team of subject matter experts that included patients and other key stakeholders, developed an evidence-based consensus framework for reporting and grading leaks that incorporates clinically meaningful and patient-centered elements. The results of this multiphase project will be presented.

Presentations:

• 7:45 AM – 8:35 AM ET, USA

  Anastomotic Leak Consensus
  

  Co-Moderator: Patricia Sylla, MD (she/her/hers) – Icahn School of Medicine at Mount Sinai

  Co-Moderator: Marylise Boutros, MD (she/her/hers) – Dr Marylise Boutros - Colorectal Surgeon, Cleveland Clinic Florida Professor of Surgery, McGill University, Montreal, Canada
• 7:45 AM – 7:47 AM ET, USA

  Introduction
  

  Speaker: Patricia Sylla, MD (she/her/hers) – Icahn School of Medicine at Mount Sinai
• 7:47 AM – 7:50 AM ET, USA

  Coreal Project Rationale, Aims, and Contributors
  

  Speaker: Patricia Sylla, MD (she/her/hers) – Icahn School of Medicine at Mount Sinai
• 7:50 AM – 7:55 AM ET, USA

  Project Development and Methodology
  

  Speaker: Nicole Bouvy (she/her/hers) – MUMC
• 7:55 AM – 8:10 AM ET, USA

  Overview of the Evidence and Consensus Recommendations
  

  Speaker: Danique Heuvelings, n/a (she/her/hers) – Maastricht University
• 8:10 AM – 8:15 AM ET, USA

  Incorporating Patient Perspectives
  

  Speaker: Danique Heuvelings, n/a (she/her/hers) – Maastricht University
• 8:15 AM – 8:25 AM ET, USA

  Proposal for Novel Anastomotic Leak Reporting Framework
  

  Speaker: Marylise Boutros, MD (she/her/hers) – Dr Marylise Boutros - Colorectal Surgeon, Cleveland Clinic Florida Professor of Surgery, McGill University, Montreal, Canada
• 8:25 AM – 8:35 AM ET, USA

  Next Steps in Consensus Building
  

  Speaker: Nader Francis, PhD, FRCS – The Griffin Institute - Northwick Park Hospital London