Details

Autor(en) / Beteiligte

• Golda, Thomas
• Lazzara, Claudio
• Zerpa, Carla
• Sobrino, Lucia
• Fico, Valeria
• Kreisler, Esther
• Biondo, Sebastiano

Titel

Risk factors for ileocolic anastomosis dehiscence; a cohort study

Ist Teil von

• The American journal of surgery, 2020-07, Vol.220 (1), p.170-177

Ort / Verlag

New York: Elsevier Inc

Erscheinungsjahr

2020

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• 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. 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. 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 < 0.001). 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. •Stapled or hand sewn ileocolic anastomoses do not differ in anastomotic leaks (AL).•Low serum albumin, smoking and perioperative blood transfusion increase independently the risk for AL.•Oversewing of the entire anastomosis associates with significantly reduced AL risk.