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International Journal of Colorectal Disease

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Open Access 01-07-2009 | Original Article

After-hours colorectal surgery: a risk factor for anastomotic leakage

Authors: Niels Komen, Jan-Willem Dijk, Zarina Lalmahomed, Karel Klop, Wim Hop, Gert-Jan Kleinrensink, Hans Jeekel, W. Ruud Schouten, Johan F. Lange

Published in: International Journal of Colorectal Disease | Issue 7/2009

Abstract

Purpose

This study aims to increase knowledge of colorectal anastomotic leakage by performing an incidence study and risk factor analysis with new potential risk factors in a Dutch tertiary referral center.

Methods

All patients whom received a primary colorectal anastomosis between 1997 and 2007 were selected by means of operation codes. Patient records were studied for population description and risk factor analysis.

Results

In total 739 patients were included. Anastomotic leakage (AL) occurred in 64 (8.7%) patients of whom nine (14.1%) died. Median interval between operation and diagnosis was 8 days. The risk for AL was higher as the anastomoses were constructed more distally (p = 0.019). Univariate analysis showed duration of surgery (p = 0.038), BMI (p = 0.001), time of surgery (p = 0.029), prophylactic drainage (p = 0.006) and time under anesthesia (p = 0.012) to be associated to AL. Multivariate analysis showed BMI greater than 30 kg/m² (p = 0.006; OR 2.6 CI 1.3–5.2) and “after hours” construction of an anastomosis (p = 0.030; OR 2.2 CI 1.1–4.5) to be independent risk factors.

Conclusion

BMI greater than 30 kg/m² and “after hours” construction of an anastomosis were independent risk factors for colorectal anastomotic leakage.

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Title: After-hours colorectal surgery: a risk factor for anastomotic leakage
Authors: Niels Komen
Jan-Willem Dijk
Zarina Lalmahomed
Karel Klop
Wim Hop
Gert-Jan Kleinrensink
Hans Jeekel
W. Ruud Schouten
Johan F. Lange
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 7/2009
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-009-0692-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

After-hours colorectal surgery: a risk factor for anastomotic leakage

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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