Ileocolic Anastomotic Leaks - An Institutional Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- The objective is to investigate any association between the variables considered and the occurrence of Anastomotic Leak.
Study Overview
Brief Summary
Anastomotic leak is the most feared complication following intestinal resection with incidence varying between 1.8%1 and 15.9%. Anastomotic leakage is associated with the need for re-operation, prolonged hospital stay and increased morbidity and mortality. Controversy surrounds the list of risk factors associated with Anastomotic Leaks with preoperative Serum Protein concentration being found to be an independent risk factor. The influence of surgeon factors over the occurrence of anastomotic leaks has found little evidence. Multiple reoperations and stoma creation are often necessary to control the leak, which significantly increases health risks and health care costs. Hence knowledge about risk factors predisposing patients to Anastomotic Leak will be helpful in early detection and management of an otherwise fatal complication.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 99.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Colectomy (radical/limited) with Ileocolic Anastomosis End ileostomy reversal with Ileocolic Anastomosis.
Exclusion Criteria
- •Patients who underwent Ileocolic Anastomosis elsewhere and were referred to Kasturba Hospital with Anastomotic Leak Patients with Ileocolic Anastomosis with Diversion Loop Ileostomy Patients with Ileorectal Anastomosis Patients with Ileal pouch Anal Anastomosis Age below 18 years.
Outcomes
Primary Outcomes
The objective is to investigate any association between the variables considered and the occurrence of Anastomotic Leak.
Time Frame: The occurrence of leak within 30 days of the surgery
Age
Time Frame: The occurrence of leak within 30 days of the surgery
Preoperative Albumin
Time Frame: The occurrence of leak within 30 days of the surgery
Coexisting illness
Time Frame: The occurrence of leak within 30 days of the surgery
Indication for surgery
Time Frame: The occurrence of leak within 30 days of the surgery
Experience of the surgeon
Time Frame: The occurrence of leak within 30 days of the surgery
Duration of surgery
Time Frame: The occurrence of leak within 30 days of the surgery
Mode of diagnosis of leak
Time Frame: The occurrence of leak within 30 days of the surgery
Nature of surgery
Time Frame: The occurrence of leak within 30 days of the surgery
Preoperative bowel preparation
Time Frame: The occurrence of leak within 30 days of the surgery
Technique of anastomosis
Time Frame: The occurrence of leak within 30 days of the surgery
Management of leak
Time Frame: The occurrence of leak within 30 days of the surgery
Type of anastomosis
Time Frame: The occurrence of leak within 30 days of the surgery
Intraoperative complications
Time Frame: The occurrence of leak within 30 days of the surgery
Time of diagnosis of leak after surgery
Time Frame: The occurrence of leak within 30 days of the surgery
Secondary Outcomes
- To analyze how anastomotic leaks affect hospital stay(Hospital stay is measured in terms of total number of days the patient was admitted in the hospital)