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Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery
OBJECTIVE: Although major anastomotic bleeding after lower gastrointestinal surgery is considered rare, it can be life-threatening if not properly managed. The objective of this study was to assess the incidence of postoperative lower gastrointestinal intraluminal bleeding and to identify its potent...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607592/ https://www.ncbi.nlm.nih.gov/pubmed/31269980 http://dx.doi.org/10.1186/s13104-019-4403-0 |
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author | Hébert, Jocelyne Eltonsy, Sherif Gaudet, Jeffrey Jose, Caroline |
author_facet | Hébert, Jocelyne Eltonsy, Sherif Gaudet, Jeffrey Jose, Caroline |
author_sort | Hébert, Jocelyne |
collection | PubMed |
description | OBJECTIVE: Although major anastomotic bleeding after lower gastrointestinal surgery is considered rare, it can be life-threatening if not properly managed. The objective of this study was to assess the incidence of postoperative lower gastrointestinal intraluminal bleeding and to identify its potential risk factors. This retrospective cohort study used data from charts of 314 patients who underwent digestive surgery of the colon or small intestine. Details are reported for their sociodemographic data, surgical approach, comorbidities, timing and presentation of intraluminal bleeding events, bleeding diagnosis, treatment strategies, hospital length of stay, and clinical complications. RESULTS: A total of 7 patients (2.3%) experienced intraluminal bleeding in the postoperative period. The average length of hospital stay before discharge was 12 days (median = 13 days). Patients with intraluminal bleeding had a significantly higher percentage of coronary artery diseases compared to patients without intraluminal bleeding (P value = .04), as well as having a cancer diagnosis (P value = .02). The clinical complications that were more likely in patients with intraluminal bleeding included requiring blood transfusions (P value = .01), reduction in hemoglobin (P value = .001), cardiac ischemia (P value = .02), and atrial fibrillations (P value = .02). ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13104-019-4403-0) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6607592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-66075922019-07-12 Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery Hébert, Jocelyne Eltonsy, Sherif Gaudet, Jeffrey Jose, Caroline BMC Res Notes Research Note OBJECTIVE: Although major anastomotic bleeding after lower gastrointestinal surgery is considered rare, it can be life-threatening if not properly managed. The objective of this study was to assess the incidence of postoperative lower gastrointestinal intraluminal bleeding and to identify its potential risk factors. This retrospective cohort study used data from charts of 314 patients who underwent digestive surgery of the colon or small intestine. Details are reported for their sociodemographic data, surgical approach, comorbidities, timing and presentation of intraluminal bleeding events, bleeding diagnosis, treatment strategies, hospital length of stay, and clinical complications. RESULTS: A total of 7 patients (2.3%) experienced intraluminal bleeding in the postoperative period. The average length of hospital stay before discharge was 12 days (median = 13 days). Patients with intraluminal bleeding had a significantly higher percentage of coronary artery diseases compared to patients without intraluminal bleeding (P value = .04), as well as having a cancer diagnosis (P value = .02). The clinical complications that were more likely in patients with intraluminal bleeding included requiring blood transfusions (P value = .01), reduction in hemoglobin (P value = .001), cardiac ischemia (P value = .02), and atrial fibrillations (P value = .02). ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13104-019-4403-0) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-03 /pmc/articles/PMC6607592/ /pubmed/31269980 http://dx.doi.org/10.1186/s13104-019-4403-0 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Note Hébert, Jocelyne Eltonsy, Sherif Gaudet, Jeffrey Jose, Caroline Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
title | Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
title_full | Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
title_fullStr | Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
title_full_unstemmed | Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
title_short | Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
title_sort | incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery |
topic | Research Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6607592/ https://www.ncbi.nlm.nih.gov/pubmed/31269980 http://dx.doi.org/10.1186/s13104-019-4403-0 |
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