TY - JOUR
T1 - Anastomotic leak rates after repair of mesenteric bucket-handle injuries
T2 - A multi-center retrospective cohort study
AU - Dhanasekara, Chathurika S.
AU - Marschke, Brianna
AU - Morris, Erin
AU - Bashrum, Bryan S.
AU - Shrestha, Kripa
AU - Richmond, Robyn
AU - Dissanaike, Sharmila
AU - Ko, Ara
AU - Tennakoon, Lakshika
AU - Campion, Eric M.
AU - Wood, Frank C.
AU - Brandt, Maggie
AU - Ng, Grace
AU - Regner, Justin
AU - Keith, Stacey L.
AU - Mcnutt, Michelle K.
AU - Kregel, Heather
AU - Gandhi, Rajesh
AU - Schroeppel, Thomas
AU - Margulies, Daniel R.
AU - Hashim, Yassar
AU - Herrold, Joseph
AU - Goetz, Mallory
AU - Simpson, Le Rone
AU - Xuan-Lan, Doan
N1 - Funding Information:
We acknowledge the assistance of the staff of Clinical Research Institute at Texas Tech University Health Sciences Center for their administrative management of this study and the dedicated work by the research staff at each of our 12 institutions.
Publisher Copyright:
© 2023
PY - 2023/12
Y1 - 2023/12
N2 - Background: Primary aim was to assess the relative risk (RR) of anastomotic leak (AL) in intestinal bucket-handle (BH) compared to non-BH injury. Methods: Multi-center study comparing AL in BH from blunt trauma 2010–2021 compared to non-BH intestinal injuries. RR was calculated for small bowel and colonic injury using R. Results: AL occurred in 20/385 (5.2%) of BH vs. 4/225 (1.8%) of non-BH small intestine injury. AL was diagnosed 11.6 ± 5.6 days from index operation in small intestine BH and 9.7 ± 4.3 days in colonic BH. Adjusted RR for AL was 2.32 [0.77–6.95] for small intestinal and 4.83 [1.47–15.89] for colonic injuries. AL increased infections, ventilator days, ICU & total length of stay, reoperation, and readmission rates, although mortality was unchanged. Conclusion: BH carries a significantly higher risk of AL, particularly in the colon, than other blunt intestinal injuries.
AB - Background: Primary aim was to assess the relative risk (RR) of anastomotic leak (AL) in intestinal bucket-handle (BH) compared to non-BH injury. Methods: Multi-center study comparing AL in BH from blunt trauma 2010–2021 compared to non-BH intestinal injuries. RR was calculated for small bowel and colonic injury using R. Results: AL occurred in 20/385 (5.2%) of BH vs. 4/225 (1.8%) of non-BH small intestine injury. AL was diagnosed 11.6 ± 5.6 days from index operation in small intestine BH and 9.7 ± 4.3 days in colonic BH. Adjusted RR for AL was 2.32 [0.77–6.95] for small intestinal and 4.83 [1.47–15.89] for colonic injuries. AL increased infections, ventilator days, ICU & total length of stay, reoperation, and readmission rates, although mortality was unchanged. Conclusion: BH carries a significantly higher risk of AL, particularly in the colon, than other blunt intestinal injuries.
KW - Anastomotic leak
KW - Blunt abdominal trauma
KW - Bucket-handle injury
KW - Devascularizing mesenteric injury
KW - Intestinal trauma
KW - Primary anastomosis
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U2 - 10.1016/j.amjsurg.2023.05.032
DO - 10.1016/j.amjsurg.2023.05.032
M3 - Article
C2 - 37270399
AN - SCOPUS:85160716101
SN - 0002-9610
VL - 226
SP - 770
EP - 775
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -