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Journal of Gastrointestinal Surgery

Published in:

01-08-2014 | Original Article

NSAID Use and Anastomotic Leaks Following Elective Colorectal Surgery: a Matched Case-Control Study

Authors: Jhananiee Subendran, Naveed Siddiqui, J. Charles Victor, Robin S. McLeod, Anand Govindarajan

Published in: Journal of Gastrointestinal Surgery | Issue 8/2014

Abstract

Introduction

Non-steroidal anti-inflammatory drugs (NSAIDs) decrease postoperative pain and opioid consumption. The objective of the study was to determine if postoperative NSAIDs were associated with anastomotic leaks following elective colorectal surgery.

Materials and Methods

We used a matched nested case-control study design. Using a prospectively collected database, we identified all patients having elective colorectal surgery between January 2001 and June 2012. Cases and matched controls were identified based on the occurrence of a postoperative anastomotic leak. The primary and secondary exposure variables were, respectively, use of any NSAID and use of ketorolac specifically. Conditional logistic regression was used to determine the unadjusted and adjusted odds ratio.

Results

A total of 262 patients were included (65.6 % inflammatory bowel disease, 34.4 % cancer). Use of any NSAID was associated with a non-significant increase in anastomotic leaks (odds ratio (OR) 1.81, 95 % confidence interval (CI) 0.98–3.37, p = 0.06). Use of ketorolac was associated with a significant increase in anastomotic leaks (OR 2.09, 95 % CI 1.12–3.89, p = 0.021). There was no significant association between anastomotic leaks and cumulative NSAID dose.

Conclusion

These data suggest that there may be an association between NSAIDs and risk of anastomotic leaks after colorectal surgery. Further research is needed to better elucidate this relationship to clarify the implications for patients.

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Title: NSAID Use and Anastomotic Leaks Following Elective Colorectal Surgery: a Matched Case-Control Study
Authors: Jhananiee Subendran
Naveed Siddiqui
J. Charles Victor
Robin S. McLeod
Anand Govindarajan
Publication date: 01-08-2014
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 8/2014
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-014-2563-8

At a glance: The STEP trials

Springer Medicine

NSAID Use and Anastomotic Leaks Following Elective Colorectal Surgery: a Matched Case-Control Study

Abstract

Introduction

Materials and Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusion

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