Clinical Observation

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It is not uncommon that patients are discharged early and return to the emergency room with symptoms of leakage after several days. The patient delay that is created has far-reaching consequences, with late leaks (>5 days) being associated with more complex treatment and adverse outcome. It is of upmost importance to treat this complication as early as possible, and thus establish an early diagnosis.
Clinical observations could be of more importance in speeding up this process. The role of clinical observations is extensively reported in literature, with early deviating clinical parameters (e.g. tachycardia, abdominal pain, respiration rate, temperature) as an important predictor of anastomotic leaks5,6,8-10,13.
However, there is no definite

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