Prediction of anastomosis failure in colorectal surgery 

Konstantin I. Sergatskiy, Doctor of medical sciences, associate professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); coloproctologyst of the department of coloproctology, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), sergatsky@bk.ru
Kristina M. Dukhovnova, Candidate of medical sciences, associate professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), kristina.max@bk.ru
Darina V. Ulybina, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), ulybina.darina@yandex.ru
Ivan V. Malyakin, Head of the department of coloproctology, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), iDoc_058@mail.ru
Evgeny A. Lazutov, Coloproctologyst of the department of coloproctology, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), lazytov@mail.ru
Maksim A. Gavryushin, Surgeon of the department of surgery No. 2, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), mr.gavryushin2018@mail.ru

Background. The failure of the colon anastomosis is one of the most dangerous and life-threatening complications that occur after colon surgery. The purpose of the study is to analyze the available literature on the current state of the problem of predicting the in solvency of the colon. Materials and methods. The search for the most significant publica tions in the databases PubMed, eLibrary and CyberLeninka was carried out using the key words: “colon anastomosis”, “inconsistency of colon anastomosis”, “predicting the insol vency of colon anastomosis”. Results. A systematic review of the literature data has been conducted, highlighting key information on various approaches to predicting the failure of colon anastomosis and their effectiveness. Conclusions. Timely diagnosis of anastomotic insufficiency is of great importance in modern colorectal surgery. Most of the methods cur rently used to monitor the condition of sutures placed on the digestive tube are used in the postoperative period and serve only to confirm an existing complication. In this regard, special attention should be paid to the development of methods capable of predicting the risk of insolvency at an early stage - before or during the operation.

sutures on the digestive tube, colon anastomosis, anastomosis failure, forecasting methods, postoperative monitoring, forecasting scales

Sergatskiy K.I., Dukhovnova K.M., Ulybina D.V., Malyakin I.V., Lazutov E.A., Gavryushin M.A. Prediction of anastomosis failure in colorectal surgery. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2025;(2):51–61. (In Russ.). doi: 10.21685/2072-3032-2025-2-5