“Dog ear” formation after double-stapled low anterior resection as a risk factor for anastomotic disruption

2000 ◽  
Vol 43 (4) ◽  
pp. 522-525 ◽  
Author(s):  
Rudi M.H. Roumen ◽  
Frank Th. G. Rahusen ◽  
Marc H. W. A. Wijnen ◽  
Fred A. A. M. Croiset van Uchelen
Keyword(s):  
Risk Factor ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Anastomotic Disruption

Is the interval from surgery to ileostomy closure a risk factor for low anterior resection syndrome?

2017 ◽  
Vol 19 (5) ◽  
pp. 485-490 ◽  
Author(s):  
R. M. Jiménez-Rodríguez ◽  
J. J. Segura-Sampedro ◽  
I. Rivero-Belenchón ◽  
J. M. Díaz Pavón ◽  
A. M. García Cabrera ◽  
...  
Keyword(s):  
Risk Factor ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Ileostomy Closure ◽  
Low Anterior Resection Syndrome ◽  
Anterior Resection Syndrome

CR03 SMOKING IS A MAJOR RISK FACTOR FOR ANASTOMOTIC LEAK AFTER LOW ANTERIOR RESECTION

2007 ◽  
Vol 77 (s1) ◽  
pp. A15-A15
Author(s):  
C. H. Richards ◽  
J. Hayes ◽  
M. Thomson-Fawcett ◽  
T. Elliot
Keyword(s):  
Risk Factor ◽  
Anastomotic Leak ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Major Risk Factor

scholarly journals Assessment of the risk of permanent stoma after low anterior resection in rectal cancer patients

2020 ◽  
Author(s):  
Marcin Zeman ◽  
Marek Czarnecki ◽  
Andrzej Chmielarz ◽  
Adam Idasiak ◽  
Maciej Grajek ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Loop Ileostomy ◽  
Significant Risk ◽  
Fibrinogen Concentration ◽  
Permanent Stoma ◽  
Preoperative Serum ◽  
The Impact

Abstract BackgroundOne of the most severe complications of low anterior resection is anastomotic leakage (AL). The creation of a loop ileostomy (LI) reduces the frequency of AL requiring surgical intervention, but up to one-third of temporary stomas may never be closed.The first aim of the study is to perform a retrospective assessment of the impact of LI on the risk of permanent stoma (PS) and symptomatic AL. The second aim of the study is to assess preoperative PS risk factors in patients with LI.MethodsA total of 286 consecutive patients who underwent low anterior resection were subjected to retrospective analysis. In 101 (35.3%) patients, diverting LI was performed due to low anastomosis, while in the remaining 185 (64.7%) patients, no ileostomy was performed. LIs were reversed after adjuvant treatment. Analyses of the effect of LI on symptomatic AL and PS were performed. Among the potential risk factors for PS, clinical factors and values ​​of selected peripheral blood parameters were analysed.ResultsPS occurred in 37.6% and 21.1% of the patients with LI and without LI, respectively (p <0.01). Symptomatic ALs were significantly more common in patients without LI. In this group, symptomatic ALs occurred in 23.8% of patients, while in the LI group, they occurred in 5% of patients (p <0.001). In the LI group, the only significant risk factor for PS in multivariate analysis was preoperative plasma fibrinogen concentration (OR = 1.008, 97.5% CI 1.003-1.014, p = 0.003).ConclusionsProtective LI significantly reduces the incidence of symptomatic AL, but a higher risk of PS is observed in this group of patients. The preoperative serum fibrinogen concentration is a risk factor for PS in LI patients and may be a helpful variable in decision models.

Smoking is a major risk factor for anastomotic leak in patients undergoing low anterior resection

2012 ◽  
Vol 14 (5) ◽  
pp. 628-633 ◽  
Author(s):  
C. H. Richards ◽  
V. Campbell ◽  
C. Ho ◽  
J. Hayes ◽  
T. Elliott ◽  
...  
Keyword(s):  
Risk Factor ◽  
Anastomotic Leak ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Major Risk Factor
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