onr:"swepub:oai:gup.ub.gu.se/252381"
Search: onr:"swepub:oai:gup.ub.gu.se/252381" > Diagnosis, treatmen...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Gessler, BodilGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery (author)
Diagnosis, treatment, and consequences of anastomotic leakage in colorectal surgery.
- Article/chapterEnglish2017
Publisher, publication year, extent ...
- 2017-01-09
- Springer Science and Business Media LLC,2017
Numbers
- LIBRIS-ID:oai:gup.ub.gu.se/252381
- https://gup.ub.gu.se/publication/252381URI
- https://doi.org/10.1007/s00384-016-2744-xDOI
Supplementary language notes
- Language:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- The aim of this study was to explore the choice of modality for diagnosis, treatments, and consequences of anastomotic leakage.This is a retrospective study of consecutive patients who underwent surgery that included a colorectal anastomosis due to colorectal cancer, diverticulitis, inflammatory bowel disease (IBD), or benign polyps.A total of 600 patients were included during 2010-2012, and 60 (10%) had an anastomotic leakage. It took in mean 8.8days (range 2-42) until the anastomotic leakage was diagnosed. A total of 44/60 of the patients with a leakage had a CT scan of the abdomen; 11 (25%) were initially negative for anastomotic leakage. Among all leakages, the anastomosis was taken down in 45 patients (76.3%). All patients with a grade B leakage (n=6) were treated with antibiotics, and two also received transanal drainage. The overall complication rate was also significantly higher in those with leakage (93.3 vs. 28.5%, p<0.001), and it was more common with more than three complications (70 vs. 1.5%, p<0.001). There was a higher mortality in the leakage group.This study demonstrated that one fourth of the CT scans that were executed were initially negative for leakage. Most patients with a grade C leakage will not have an intact anastomosis. An anastomotic leakage leads to significantly more severe postoperative complications, higher rate of reoperations, and higher mortality. An earlier relaparotomy instead of a CT scan and improved postoperative surveillance could possibly reduce the consequences of the anastomotic leakage.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
- Eriksson, OlleGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery (author)
- Angenete, Eva,1972Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery(Swepub:gu)xangee (author)
- Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för kirurgi (creator_code:org_t)
Related titles
- In:International journal of colorectal disease: Springer Science and Business Media LLC32:4, s. 549-5561432-12620179-1958
Internet link
Find in a library
- International journal of colorectal disease (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Gessler, Bodil
- Eriksson, Olle
- Angenete, Eva, 1 ...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Surgery
- Articles in the publication
- International jo ...
- By the university
- University of Gothenburg
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
