Incidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery

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dc.contributor.authorHébert, Jocelyne
dc.contributor.authorEltonsy, Sherif
dc.contributor.authorGaudet, Jeffrey
dc.contributor.authorJose, Caroline
dc.date.accessioned2019-08-01T04:29:35Z
dc.date.issued2019-07-03
dc.date.updated2019-08-01T04:29:35Z
dc.description.abstractAbstract 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).
dc.identifier.citationBMC Research Notes. 2019 Jul 03;12(1):378
dc.identifier.urihttps://doi.org/10.1186/s13104-019-4403-0
dc.identifier.urihttp://hdl.handle.net/1993/34055
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titleIncidence and risk factors for anastomotic bleeding in lower gastrointestinal surgery
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciencesen_US
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