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What are anastomatic leaks costing you?

Learn more about the clinical and economic burden of colorectal and bariatric anastomatic leaks.

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Anastomotic leaks are a major driver of hospital costs:
  • Average colorectal and bariatric anastomotic leak costs are $48,982 dollars and $43,918 respectively.1
  • Length of stay is lengthened for colorectal and bariatric anastomotic leaks from 7 to 19 days and 2 to 17 days respectively, 12-15 days longer than non-anastomotic leaks.1
The risk of 30-day post op readmissions are significant for initial anastomotic leak cases:
  • Readmission rate due to anastomotic leak during the initial hospitalization is 2.8% and 3.8% for bariatric and colorectal procedures, respectively.1
  • In 2019, readmission cost for anastomotic leaks averaged $18,312.00.1
  • Bariatric: The incidence of leaks after Sleeve gastrectomy varies from 0.3% to 4.4%.2
Interventions to prevent the occurrence of Anastomotic leaks may have beneficial Economic consequences:
  • Anastomotic leaks remain one of the most relevant and serious postoperative complications following GI surgery.1,5
  • Intraoperative endoscopy is one such measure with the potential to identify risk early through visualization.3
  • A systematic review of RCT's in which colorectal anastomosis were endoscopically visualized, a statistically significantly lower rate of anastomotic complications was demonstrated in patients with endoscopically visualized, air-tested anastomoses as compared to those that were not 5.8 versus 16% P value 0.028T.4
Intraoperative endoscopy (IOE)
supports better clinical outcomes6
  • Medical records of 2,311 patients who underwent a LRYGB from 2002-2011.6
  • Routine IOE Use:
    • Allowed the reduction of potential leak rate by 91.8% compared to no testing.6
    • Reduced anastomosis related morbidity from the expected 3.2% to 1.3%.6

Download the Beckers report on “How intra-operative endoscopy can potentially reduce a hospital’s costs and complications”

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Special Report
1. Lee, S.W., Gregory, D. & Cool, C.L. Clinical and economic burden of colorectal and bariatric anastomotic leaks. Surg Endosc (2019). https://doi.org/10.1007/s00464-019-07210-1
2. The incidence of leaks following laparoscopic RYGB has been decreasing with recent literature with a reported incidence of less than 1% (Nandipati KC, Bremer KC. Bariatric Surgery Emergencies in Acute Care Surgery. Surg Clin North Am. 2023 Dec;103(6):1113-1131.)
3. Chadi SA, Fingerhut A, Berho M et al (2016) Emerging trends in the etiology, prevention, and treatment of gastrointestinal anastomotic leakage. J Gastrointestinal Surgery 20(12):2035–2051.
4. Goyal M, Bains A, Singh Y, Deepali F, Singh A, Sood S, Buttar NS. Endoscopic management of surgical complications. Best Pract Res Clin Gastroenterol. 2024 Mar;69:101898. doi: 10.1016/j.bpg.2024.101898. Epub 2024 Mar 6. PMID: 38749577.
5. Phillips B (2016) Reducing gastrointestinal anastomotic leak rates: review of challenges and solutions. Open Access Surg. https://doi.org/10.2147/OAS.S54936
6. Haddad A, Tapazoglou N, Singh K, Averbach A. Role of Intraoperative Esophagogastroenteroscopy in Minimizing Gastrojejunostomy-Related Morbidity: Experience with 2,311 Laparoscopic Gastric Bypasses with Linear Stapler Anastomosis. Obesity Surgery. 2012;22(12):1928-1933. doi:10.1007/s11695-012-0757-2.Accessed August 19th, 2016.
Hear what some surgeons are recommending for
intra-operative endoscopy…

Dr. Morton recommends intra-operative endoscopy

Dr. Lutfi recommends intra-operative endoscopy

Want to learn more about the clinical and economic burden of colorectal and baratric anastomatic leaks and Olympus products?