Ileocolic Anastomotic Leaks - An Institutional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 140
- 试验地点
- 1
- 主要终点
- The objective is to investigate any association between the variables considered and the occurrence of Anastomotic Leak.
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Colectomy (radical/limited) with Ileocolic Anastomosis End ileostomy reversal with Ileocolic Anastomosis.
排除标准
- •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.
结局指标
主要结局
The objective is to investigate any association between the variables considered and the occurrence of Anastomotic Leak.
时间窗: The occurrence of leak within 30 days of the surgery
Age
时间窗: The occurrence of leak within 30 days of the surgery
Preoperative Albumin
时间窗: The occurrence of leak within 30 days of the surgery
Coexisting illness
时间窗: The occurrence of leak within 30 days of the surgery
Indication for surgery
时间窗: The occurrence of leak within 30 days of the surgery
Experience of the surgeon
时间窗: The occurrence of leak within 30 days of the surgery
Duration of surgery
时间窗: The occurrence of leak within 30 days of the surgery
Mode of diagnosis of leak
时间窗: The occurrence of leak within 30 days of the surgery
Nature of surgery
时间窗: The occurrence of leak within 30 days of the surgery
Preoperative bowel preparation
时间窗: The occurrence of leak within 30 days of the surgery
Technique of anastomosis
时间窗: The occurrence of leak within 30 days of the surgery
Management of leak
时间窗: The occurrence of leak within 30 days of the surgery
Type of anastomosis
时间窗: The occurrence of leak within 30 days of the surgery
Intraoperative complications
时间窗: The occurrence of leak within 30 days of the surgery
Time of diagnosis of leak after surgery
时间窗: The occurrence of leak within 30 days of the surgery
次要结局
- 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)