Together we can reduce anastomotic leak worldwide


EAGLE is an international study that will bring together surgeons, anaesthetists and theatre teams around the world to share best practice. The common goal is to reduce the global anastomotic leak rate after right colectomy and ileocaecal resection. It is important that as many members of your local teams as possible complete this online ESCP Safe-anastomosis programme to maximise the potential benefit for our patients.

Thank you for taking the time to visit this website and to complete the ESCP Safe-anastomosis modules.


The ESCP Safe-anastomosis programme has three main approaches:

1. Preoperative risk stratification – improving the evidence base for informed consent, and supporting surgical decision making around the safe anastomosis.

2. ESCP Safe-anastomosis checklist – implementation of an intraoperative anastomosis ‘checklist’, focusing the attention of the whole theatre team at this critical stage of the operation.

3. Harmonisation of surgical technique – sharing knowledge about the evidence-base for safe anastomoses and routinely checking the anastomosis carefully after it is created.


The ESCP Safe-anastomosis programme will be introduced in a staggered fashion to all hospitals so that, by the end, all sites will have completed the programme. Overall, we hope to reach out to more than 2,000 surgeons in over 300 hospitals across the world, including around 4,500 patients in total.

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