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http://hdl.handle.net/11452/33995
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DC Field | Value | Language |
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dc.date.accessioned | 2023-09-24T12:31:13Z | - |
dc.date.available | 2023-09-24T12:31:13Z | - |
dc.date.issued | 2017-08 | - |
dc.identifier.citation | Pinkney, T. vd. (2017). ''Relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: An international snapshot audit''. Colorectal Disease, 19(8), O296-O311. | en_US |
dc.identifier.issn | 1462-8910 | - |
dc.identifier.issn | 1463-1318 | - |
dc.identifier.uri | https://doi.org/10.1111/codi.13646 | - |
dc.identifier.uri | https://onlinelibrary.wiley.com/doi/10.1111/codi.13646 | - |
dc.identifier.uri | http://hdl.handle.net/11452/33995 | - |
dc.description | Çalışmada 1077 yazar bulunmaktadır. Bu yazarlardan sadece Bursa Uludağ Üniversitesi mensuplarının girişleri yapılmıştır. | tr_TR |
dc.description.abstract | Aim The anastomosis technique used following right-sided colonic resection is widely variable and may affect patient outcome. This study aimed to assess the association between leak and anastomosis technique (stapled vs handsewn). Method This was a prospective, multicentre, international audit including patients undergoing elective or emergency right hemicolectomy or ileo-caecal resection operations over a 2-month period in early 2015. The primary outcome measure was the presence of anastomotic leak within 30 days of surgery, determined using a prespecified definition. Mixed effects logistic regression models were used to assess the association between leak and anastomosis method, adjusting for patient, disease and operative cofactors, with centre included as a random-effect variable. Results This study included 3208 patients, of whom 78.4% (n = 2515) underwent surgery for malignancy and 11.7% (n = 375) underwent surgery for Crohn's disease. An anastomosis was performed in 94.8% (n = 3041) of patients, which was handsewn in 38.9% (n = 1183) and stapled in 61.1% (n = 1858). Patients undergoing hand-sewn anastomosis were more likely to be emergency admissions (20.5% handsewn vs 12.9% stapled) and to undergo open surgery (54.7% handsewn vs 36.6% stapled). The overall anastomotic leak rate was 8.1% (245/3041), which was similar following handsewn (7.4%) and stapled (8.5%) techniques (P = 0.3). After adjustment for cofactors, the odds of a leak were higher for stapled anastomosis (adjusted OR = 1.43; 95% CI: 1.04-1.95; P = 0.03). Conclusion Despite being used in lower-risk patients, stapled anastomosis was associated with an increased anastomotic leak rate in this observational study. Further research is needed to define patient groups in whom a stapled anastomosis is safe. | en_US |
dc.description.sponsorship | National Institutes of Health Research (NIHR) - NF-SI-0514-10066 | en_US |
dc.description.sponsorship | ECCO - European Crohn’s and Colitis Organisation | en_US |
dc.description.sponsorship | ACF-2014-09-010 | en_US |
dc.language.iso | en | en_US |
dc.publisher | Wiley | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.rights | Atıf Gayri Ticari Türetilemez 4.0 Uluslararası | tr_TR |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Gastroenterology & hepatology | en_US |
dc.subject | Surgery | en_US |
dc.subject | Anastomotic leak | en_US |
dc.subject | Colorectal cancer | en_US |
dc.subject | Crohn's disease | en_US |
dc.subject | Epidemiology | en_US |
dc.subject | International | en_US |
dc.subject | Risk-factors | en_US |
dc.subject | Leak | en_US |
dc.subject | Complications | en_US |
dc.subject | Definition | en_US |
dc.subject | Mortality | en_US |
dc.title | Relationship between method of anastomosis and anastomotic failure after right hemicolectomy and ileo-caecal resection: An international snapshot audit | en_US |
dc.type | Article | en_US |
dc.identifier.wos | 000406961000003 | tr_TR |
dc.identifier.scopus | 2-s2.0-85026746396 | tr_TR |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | tr_TR |
dc.contributor.department | Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı. | tr_TR |
dc.identifier.startpage | O296 | tr_TR |
dc.identifier.endpage | O311 | tr_TR |
dc.identifier.volume | 19 | tr_TR |
dc.identifier.issue | 8 | tr_TR |
dc.relation.journal | Colorectal Disease | en_US |
dc.contributor.buuauthor | Yılmazlar, Tuncay | - |
dc.contributor.researcherid | CKK-3621-2022 | tr_TR |
dc.relation.collaboration | Yurt içi | tr_TR |
dc.relation.collaboration | Yurt dışı | tr_TR |
dc.relation.collaboration | Sanayi | tr_TR |
dc.identifier.pubmed | 28263043 | tr_TR |
dc.subject.wos | Gastroenterology & hepatology | en_US |
dc.subject.wos | Surgery | en_US |
dc.indexed.wos | SCIE | en_US |
dc.indexed.scopus | Scopus | en_US |
dc.indexed.pubmed | PubMed | en_US |
dc.wos.quartile | Q3 (Gastroenterology & hepatology) | en_US |
dc.wos.quartile | Q1(Surgery) | en_US |
dc.contributor.scopusid | 6701800362 | tr_TR |
dc.subject.scopus | Anastomosis Leakage; Ileostomy; Rectum Tumor | en_US |
dc.subject.emtree | Adolescent | en_US |
dc.subject.emtree | Adult | en_US |
dc.subject.emtree | Aged | en_US |
dc.subject.emtree | Anastomosis leakage | en_US |
dc.subject.emtree | Anastomotic failure | en_US |
dc.subject.emtree | Article | en_US |
dc.subject.emtree | Clinical effectiveness | en_US |
dc.subject.emtree | Controlled clinical trial | en_US |
dc.subject.emtree | Controlled study | en_US |
dc.subject.emtree | Crohn disease | en_US |
dc.subject.emtree | Cross-sectional study | en_US |
dc.subject.emtree | Elective surgery | en_US |
dc.subject.emtree | Female | en_US |
dc.subject.emtree | Hemicolectomy | en_US |
dc.subject.emtree | Hospital readmission | en_US |
dc.subject.emtree | Human | en_US |
dc.subject.emtree | Ileo caecal resection | en_US |
dc.subject.emtree | Ileorectal anastomosis | en_US |
dc.subject.emtree | Intestine resection | en_US |
dc.subject.emtree | Length of stay | en_US |
dc.subject.emtree | Major clinical study | en_US |
dc.subject.emtree | Male | en_US |
dc.subject.emtree | Mortality rate | en_US |
dc.subject.emtree | Multicenter study | en_US |
dc.subject.emtree | Observational study | en_US |
dc.subject.emtree | Open surgery | en_US |
dc.subject.emtree | Outcome assessment | en_US |
dc.subject.emtree | Postoperative complication | en_US |
dc.subject.emtree | Priority journal | en_US |
dc.subject.emtree | Prospective study | en_US |
dc.subject.emtree | Reoperation | en_US |
dc.subject.emtree | Surgical technique | en_US |
Appears in Collections: | Scopus Web of Science |
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