Predictive factors of postoperative anastomotic leakage after bowel surgeries, retrospective chart review
Sultan H. Alsaigh, Majed Alrudeeny, Muntaha S. Almohaimeed, Salman G. Alghanim, Abdullah Alrakebeh, Mohammed Salem, Basim Aloboody, Ayman Alkharraz, Abdullah Alsalamah.
Abstract
Objective:
This study aimed to identify host-related and operation-related risk factors and recognize factors that can help in predicting postoperative anastomotic leakage.
Methods:
It was a retrospective analytical study, conducted in King Fahad Specialist Hospital, Saudi Arabia. Data were collected from medical records.
Results:
The current study revealed male predominance (57.8%) with 35.9% aged over 60 years. Most participants had no Crohn's Disease (81.4%). Hemicolectomy was the common procedure (50.8%), with tumor resection as the primary cause (49.5%). Anastomotic leakage (36.9%) was prominent, and associated with lower albumin levels. Surgery site, reason, and Crohn's Disease did not significantly correlate. Bowel resection/anastomosis and emergent surgeries showed notable associations with anastomotic leakage.
Conclusion:
The study highlighted male predominance and a significant occurrence of anastomotic leakage, correlated with lower albumin levels. Surgery site, reason, and Crohn's Disease did not show significant associations, contrasting with bowel resection/anastomosis and emergent surgeries.
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