Reducing the Burden of Anastomotic Leaks

Reducing the Burden of Anastomotic Leaks

Anastomotic leaks are multi-factorial and still occur in up to 8.6% of cases.1* The consequences are enormous. Leaks reduce 5-year overall survival to as little as 33.3%.2** In addition, anastomotic leaks increase direct healthcare costs in average by approx. € 35,000 per patient, compared to treatment costs for patients without anastomotic leaks.3***

Connected Working for Tomorrow’s Care

Ethicon strives to develop the next generation of integrated treatment solutions in colorectal care to, ultimately, give patients back their tomorrows.

We connect experienced minds and the next generation of healthcare professionals, combined with the world’s colorectal institutions and our own initiatives.

Together we can establish best practices and better standards of care. What comes next starts now.

Colorectal Offering

Early colorectal screening graphic

Early Screening

Early colorectal screening is critical to achieve a high 5-years survival rate.4 Johnson & Johnson has developed a non-branded educational campaign, which can be used to raise the importance of early screening. Further, we have entered into a partnership with the patient association Digestive Cancers Europe (DiCE).

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VISIBLE PATIENT™ can use medical imaging, including CT or MRI images to create a 3D colorectal model.4

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Patient Centered Healthcare

We offer custom designed pathway capabilities for comprehensive disease management that guide the coordination of care, standardization of key practices and engage patients from hospital to home.



Reduced leaks at the staple line without compromising perfusion. The ECHELON CIRCULAR Powered Stapler demonstrated an 85% reduction in anastomotic leaks compared with manual circular staplers (1.7% vs. 11.8%, p=0.02).

ECHELON+ Stapler with GST Reloads

ECHELON+ Stapler with GST Reloads

The ECHELON+ Stapler with GST Reloads demonstrated better staple formation and 4x less slippage during firing9€ compared to Medtronic Staplers with Tri-Staple Reloads.

HARMONIC HD 1000i Shears

HARMONIC HD 1000i Shears

More tapered jaw can enable precise access to tissue planes.10\\

ENSEAL X1 Curved Jaw

ENSEAL X1 Curved Jaw

More efficient. ENSEAL X1 Curved Jaw can enable more efficiency through capturing more tissue per bite compared to LigaSure Maryland.11¥



The new ECHELON CONTOUR™ Curved Cutter. Designed to minimize leak pathways.12$

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Procedure Manager

SPI’s platform empowers surgical teams to address variability in the OR and enhance their performance, by synchronizing workflows and accessing real-time insights.

Colorectal Education – Professional Education​

Professional Education

Educating, coaching, development, and advocacy for those on the frontlines of health-focused on advancing the appropriate use of our products and improving patient outcomes.

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Society Collaborations

We are partnering with the European Society of Coloproctology (ESCP) whereby we are joining forces in studying the causes of anastomotic leaks and co-creating educational programs to reduce the variability in surgical technique in Europe.

Evidence & Case Studies

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Demonstrated a 1.7% anastomotic leak rate, which was an 85% reduction compared to manual circular staplers (1.7% v. 11.8%, p=0.02)

top regions middle east africa

HARMONIC Ultrasonic Device

Reduces operative time and blood and lymphatic loss, and allows satisfactory maintenance of protein storage, resulting in a lower incidence of complications and faster patient recovery following right colon surgery.13♣

CONTOUR Curved Cutter Stapler

CONTOUR Curved Cutter Stapler

Offers higher tissue preservation and lower rates of certain complications, such as pelvic contamination, compared to conventional staplers in open and laparoscopic colorectal procedures.14

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Standardisation of Surgical Procedures

To reduce risk of anastomotic leakage, reoperation, and surgical site infection in colorectal cancer surgery: a retrospective cohort study of 1,189 patients15

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The Colorectal Next Program

Is supported by evidence, find all summaries in the Evidence Portal

Reducing the Burden of Anastomotic Leaks

Tan Arulampalam video​ eradicating anastomotic leaks

Tan Arulampalam, UK

“This is a problem we cannot ignore any longer. This is something we have to do for our patients!”

surgeon hands using instruments in surgical procedure

Gerrit Slooter, NL

“As a surgeon, I have to stand up for my patients and we should all reduce anastomotic leakages.”

James Kinross video​ eradicating anastomotic leaks

James Kinross, UK

“We have to develop completely new strategies and new ways of thinking if we’re really going to meaningfully solve it.”

Dion Morton video​ eradicating anastomotic leaks

Dion Morton, UK

“Working together to minimise and even eradicate anastomotic leak is something that, as a community, we all aspire to.”

Helpful Links

Colorectal Next

Colorectal Next

Colorectal Surgery

Colorectal Speciality

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