Risk factors for ileocolic anastomosis dehiscence; a cohort study
| Autor: | Esther Kreisler, Valeria Fico, Claudio Lazzara, Carla Zerpa, Thomas Golda, Lucia Sobrino, Sebastiano Biondo |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion Colon medicine.medical_treatment Anastomotic Leak Dehiscence Anastomosis Risk Assessment Crohn Disease Suture (anatomy) Ileum Risk Factors Surgical Wound Dehiscence medicine Humans Aged Retrospective Studies Ileocolic anastomosis business.industry Mean age General Medicine Perioperative Prognosis Surgery Survival Rate Spain Female Morbidity business Cohort study |
| Zdroj: | The American Journal of Surgery. 220:170-177 |
| ISSN: | 0002-9610 |
| Popis: | Background Anastomotic leak (AL) after ileocolic anastomosis influences morbidity, mortality, length of hospitalization and costs. This study analyzes risk and protective factors for AL on ileocolic anastomoses. Methods We retrospectively analyzed our single institution patients' series undergoing elective ileocolic anastomosis for AL between 1/2008-12/2017. AL grade A/B (antibiotic treatment and/or radiological drainage) were summarized as mild, grade C (surgical re-intervention) corresponds to severe AL. Results We included 470 patients (mean age 70.8 years, 43.2% females). Overall AL rate was 9.4% (44 patients) with 6.0% severe and 3.4% mild AL. There was no difference in AL between hand sewn and stapled anastomoses. Multivariate analysis revealed preoperative serum albumin (p = 0.004), smoking habits (p = 0.005) and perioperative blood transfusion (p = 0.038) as risk factors for AL. Suture oversewing as anastomotic reinforcement resulted as independent protective factor (p Conclusion Poor nutritional status, smoking habits and perioperative blood transfusion are negative factors influencing on AL. Suture oversewing as anastomotic reinforcement associates with significantly less AL. |
| Databáze: | OpenAIRE |
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