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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit
Colorectal Disease, Volume 20, Year 2018
Notification
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Description
Introduction: Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection. Methods: A pre-planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30-day major complication rate (Clavien-Dindo grade 3 to 5). Results: From 591 patients, 455 (77%) received an end stoma, 103 a primary anastomosis (17%) and 33 primary anastomosis with defunctioning stoma (6%). In multivariable models, anastomosis was associated with a similar major complication rate to end stoma (adjusted odds ratio for end stoma 1.52, 95%CI 0.83–2.79, P = 0.173). Although a defunctioning stoma was not associated with reduced anastomotic leak (12% defunctioned [4/33] vs 13% not defunctioned [13/97], adjusted odds ratio 2.19, 95%CI 0.43–11.02, P = 0.343), it was associated with less severe complications (75% [3/4] with defunctioning stoma, 86.7% anastomosis only [13/15]), a lower mortality rate (0% [0/4] vs 20% [3/15]), and fewer reoperations (50% [2/4] vs 73% [11/15]) when a leak did occur. Conclusions: Primary anastomosis in selected patients appears safe after left sided emergency colorectal resection. A defunctioning stoma might mitigate against risk of subsequent complications. Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland
Authors & Co-Authors
Sanchez-Guillen, Luís
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Sivrikoz, Emre
Unknown Affiliation
van Elst, Tim R.
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Pinkney, Thomas D.
Unknown Affiliation
Bhangu, Aneel Amir
Unknown Affiliation
El-Hussuna, Alaa
Unknown Affiliation
Buchs, Nicolas Christian
Unknown Affiliation
Buskens, Christianne Johanna
Unknown Affiliation
Frasson, Matteo
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Dion G. Morton, Dion Gregory M.
Unknown Affiliation
Negoi, Ionut
Unknown Affiliation
Zmora, Oded
Unknown Affiliation
Perry, Rita J.
Unknown Affiliation
Magill, Laura
Unknown Affiliation
Brown, Steven Ross
Unknown Affiliation
Denost, Quentin D.
Unknown Affiliation
Knowles, Charles H.
Unknown Affiliation
Laurberg, Soren
Unknown Affiliation
Möeslein, Gabriela
Unknown Affiliation
Vaizey, Carolynne J.
Unknown Affiliation
Proud, David M.
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Warwick, Andrea Marie
Unknown Affiliation
Francart, David
Unknown Affiliation
Muysoms, Filip E.
Unknown Affiliation
Wolthuis, Albert M.
Unknown Affiliation
Delibegović, Samir
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Tercioti, Valdir
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Dardanov, Dragomir
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Maslyankov, Svilen
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Lozev, Ilia I.
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Slavchev, M.
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Atanasov, Boyko Tchavdarov
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Belev, Nikolay
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Škrovina, Matěj
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Christensen, Peter Astrup
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Elfeki, Hossam Ayman
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Kristensen, Marianne Højsgaard
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Elgeidie, Ahmed Abdelraouf
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Elhemaly, Mohamed
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Shalaby, Mostafa
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Emile, Sameh Hany
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Sakr, Ahmad Hammad
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Thabet, Waleed Mohamed
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Awny, Shadi
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Metwally, Islam Hany
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Refky, Basel
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Zuhdy, Mohammad
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Lepistö, Anna H.
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Rautio, Tero T.
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Lehto, Kirsi Maarit
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Gléhen, Olivier J.
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Passot, Guillaume
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Chouillard, Élie K.
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Ayav, Ahmet
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Rullier, Éric
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Lakkis, Zaher
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Schafmayer, Clemens
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Kienle, Peter
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Alexandrou, Andreas P.
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Chouliaras, Christos
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Balalis, Dimitrios
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Manatakis, Dimitrios K.
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Besznyǎk, István
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Bursics, Attila
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Mehraj, Asif
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Cahill, Ronan A.
Unknown Affiliation
Mulsow, Jürgen J.W.
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Kelly, Michael Eamon
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Ryan, Eanna J.
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Gefen, Rachel
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Raguan, Barak
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Wasserberg, Nir
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Freund, Michael R.
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Tulchinsky, Hagit
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Agresta, Ferdinando
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Tamini, Nicolò
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Gianotti, Luca
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Morino, Mario
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Delrio, Paolo
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Montroni, Isacco
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Spinelli, Antonino
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Sacchi, Matteo M.
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Frontali, A.
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Ceriani, Valerio
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Rosati, Riccardo
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Elmore, Ugo
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Casoni Pattacini, Gianmaria
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Foschi, D. A.
Unknown Affiliation
Di Saverio, S.
Unknown Affiliation
Birindelli, Arianna
Unknown Affiliation
Romano, Giovannni Maria
Unknown Affiliation
Belli, Andrea A.B.
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Falato, Armando
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Tugnoli, Gregorio
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Podda, Mauro Guido
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Galleano, R.
Unknown Affiliation
Feroci, Francesco
Unknown Affiliation
Cocorullo, Gianfranco F.
Unknown Affiliation
Licari, Leo
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Sileri, Pierpaolo
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Saraceno, Federica
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Chirletti, Pietro
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Coletta, Diego
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Mingoli, Andrea
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Sacco, Rosario
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Tonini, Valeria
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Sartori, Alberto
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Balducci, Genoveffa
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Bocchetti, Tommaso
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Anania, Gabriele
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Carcoforo, Paolo
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Yamamoto, Takayuki
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Venskutonis, Donatas
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Dulskas, Audrius
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Poškus, Tomas
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Zakaria, Andee Dzulkarnaen
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Wong, Michael Pak Kai
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Ahallat, Mohamed
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Hrora, Abdelmalek El Malk
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Majbar, Anass Mohammed
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Westerduin, Emma
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Tanis, Pieter Job
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Smakman, Niels
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Zimmerman, David D.E.
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Stijns, Jasper
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den Boer, Frank C.
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Boerma, Evert Jan G.
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Anwer, Mariyah
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Qureshi, Ahmad Uzair
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Rama, Nuno José Gomes
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Domingos, Hugo
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Cunha, Miguel F.
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Martins, Ruben S.
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Simoes, Joana F.F.
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Scurtu, Radu Razvan
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Calu, Valentin
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Enciu, Octavian
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Mogoanta, Stelian Ştefǎniţǎ
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Beuran, Mircea
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Ciubotaru, Cezar I.
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Copãescu, Cǎtǎlin Andu
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Katorkin Sergei, E.
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Vardanyan, A. V.
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Ngu, James Chi Yong
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Teo, Nan Zun
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Rems, Miran
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Blas, Juan Luis
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Cuadrado-Ayuso, Marta Bailón
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Ruíz-Camps, Isabel
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Gómez-Ruiz, Marcos
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ROS, EMILIO Peña
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Sanchiz-Cárdenas, Elena M.
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Jime´nez-Rodrı´guez, Rosa María
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De la Portilla, Fernando De La
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Millán-Scheiding, Mónica M.
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Minaya-Bravo, Ana M.
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Flor-Lorente, Blas
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Myrelid, Pär E.
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Buchwald, Pamela L.
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Syk, Ingvar K.
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Adamina, Michel
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Oertli, Daniel
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Hahnloser, Dieter
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Hübner, Martin
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Ris, Frédéric
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Morel, Philippe
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Isik, Arda A.
Unknown Affiliation
Kozak, Osman Samil
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Işık, Özgen
Unknown Affiliation
Çolak, Elif F.
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Fearnhead, Nicola S.
Unknown Affiliation
Zammit, Matthew
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Seretis, Fotios
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Jones, Conor Stephen
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Agarwal, Tushar L.
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Boland, Michael R.
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Statistics
Citations: 21
Authors: 181
Identifiers
Doi:
10.1111/codi.14373
ISSN:
14628910
Research Areas
Health System And Policy
Study Design
Cohort Study
Case-Control Study