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Egyptian Journal of Hospital Medicine [The]. 2014; 57 (October): 494-512
em Inglês | IMEMR | ID: emr-160249

RESUMO

Intestinal anastomosis is one of the most commonly performed surgical procedures, especially in the emergency setting and is also commonly performed in the elective setting when resections are carried out for benign or malignant lesions of the gastrointestinal tract. Anastomotic leak after gastrointestinal anastomosis is one of the important postoperative complication that leads to significant morbidity and adversely affects length of hospital stay. To define the risk factors, presentation and outcome of anastomotic leakage after gastrointestinal anastomosis. Prospective data collection from patients who underwent small or large bowel resection and anastomosis without fecal diversion in the surgical department in Al Zahraa University Hospital in the period between November 2010 and April 2014. Demographic details of the patients as well as preoperative, intraoperative and postoperative data were recorded. Leak found or not and on which postoperative day leak found. How it was identified [clinical or radiological] and how it was treated. Outcome of patients was recorded as mortality rate and postoperative hospital stay. There were 70 [63.64%] males and 40 [36.36%] female patients. Mean age was [44.23 +/- 15.78] years. Anastomotic leak was occurred in 17 [15.4%] patients group I, while there was no leak in 93 patients [84.6%] group II. The mean postoperative period for diagnosis of anastomotic leakage was 9 days range [5-16] days. Categorical variable found to be significantly affecting the outcome of anastomosis were age of the patients [P 2 unit [P

Assuntos
Humanos , Masculino , Feminino , Intestinos/lesões , Intestino Grosso/cirurgia , Intestino Grosso/lesões , Complicações Pós-Operatórias/diagnóstico , Estudos Retrospectivos , Características de Estudos Epidemiológicos , Hospitais Universitários , Fatores de Risco
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