Liver CirrhosisSevere Fibrosis Is a Risk Factor for Anastomotic Leakage after Colorectal Surgery
Joint Authors
Käser, S. A.
Hofmann, Irina
Willi, Niels
Stickel, Felix
Maurer, Christoph Andreas
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-26
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
Liver cirrhosis associated with high perioperative morbidity/mortality.
This retrospective study determines whether liver cirrhosis represents a risk factor for anastomotic leakage after colonic anastomosis or not.
Methods.
Based on a prospective database with all consecutive colorectal resections performed at the authors’ institution from 07/2002 to 07/2012 (n=2104) all colonic and rectal anastomoses were identified (n=1875).
A temporary loop ileostomy was constructed in 257 cases (13.7%) either due to Mannheimer Peritonitis-Index > 29 or rectal anastomosis below 6 cm from the anal verge.
More than one-third of the patients (n=691) had postoperative contrast enema, either at the occasion of another study or prior to closure of ileostomy.
The presence of liver cirrhosis and the development of anastomotic leakage were assessed by chart review.
Results.
The overall anastomotic leakage rate was 2.7% (50/1875).
In patients with cirrhosis/severe fibrosis, the anastomotic leakage rate was 12.5% (3/24), while it was only 2.5% (47/1851) in those without (p=0.024).
The difference remained statistically significant after correction for confounding factors by multivariate analysis.
Conclusion.
Patients with liver cirrhosis/severe fibrosis have an increased risk of leakage after colonic anastomosis.
American Psychological Association (APA)
Käser, S. A.& Hofmann, Irina& Willi, Niels& Stickel, Felix& Maurer, Christoph Andreas. 2016. Liver CirrhosisSevere Fibrosis Is a Risk Factor for Anastomotic Leakage after Colorectal Surgery. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1104592
Modern Language Association (MLA)
Käser, S. A.…[et al.]. Liver CirrhosisSevere Fibrosis Is a Risk Factor for Anastomotic Leakage after Colorectal Surgery. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1104592
American Medical Association (AMA)
Käser, S. A.& Hofmann, Irina& Willi, Niels& Stickel, Felix& Maurer, Christoph Andreas. Liver CirrhosisSevere Fibrosis Is a Risk Factor for Anastomotic Leakage after Colorectal Surgery. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1104592
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104592