Titre :

Stenosis of the colorectal anastomosis after surgery for diverticulitis: A national retrospective cohort study

Auteur(s) :

Hamel, Jean‐francois [Auteur]
Centre Hospitalier Universitaire d'Angers [CHU Angers]
Alves, Arnaud [Auteur]
CHU Trousseau [Tours]
Beyer-Bergot, Laura [Auteur]
Zerbib, Philippe [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Bridoux, Valérie [Auteur]
Service de Chirurgie Digestive [CHU Rouen]
Université de Rouen Normandie [UNIROUEN]
Institute for Research and Innovation in Biomedicine [IRIB]
Nutrition, Inflammation et axe Microbiote-Intestin-Cerveau [ADEN]
Manceau, Gilles [Auteur]
CHU Pitié-Salpêtrière [AP-HP]
Panis, Yves [Auteur]
Clinique Hartmann [Neuilly-sur-Seine]
Buscail, Etienne [Auteur]
Institut de Recherche en Santé Digestive [IRSD]
Khaoudy, Iman [Auteur]
Groupe Hospitalier du Havre
Gaillard, Martin [Auteur]
Chirurgie digestive, hépato-biliaire et endocrinienne [CHU Cochin]
Viennet, Manon [Auteur]
Service de Chirurgie Digestive, Cancérologique, Générale, Endocrinienne et Urgences (CHU de Dijon)
Thobie, Alexandre [Auteur]
Centre Hospitalier Avranches-Granville [CH Avranches-Granville]
Menahem, Benjamin [Auteur]
Service de Chirurgie Viscérale et Digestive [CHU Caen]
Eveno, Clarisse [Auteur]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Hôpital Claude Huriez [Lille]
Bonnel, Catherine [Auteur]
Groupe Hospitalier Nord Essonne [Longjumeau]
Mabrut, Jean‐yves [Auteur]
Hôpital de la Croix-Rousse [CHU - HCL]
Badic, Bodgan [Auteur]
Godet, Camille [Auteur]
Centre Hospitalier Mémorial France États-Unis de Saint-Lô [CH Saint-Lô]
Eid, Yassine [Auteur]
Hôpital privé du Pays d'Auge-site de Lisieux
Duchalais, Emilie [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Lakkis, Zaher [Auteur]
Centre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
Cotte, Eddy [Auteur]
Centre Hospitalier Lyon Sud [CHU - HCL] [CHLS]
Laforest, Anais [Auteur]
Institut Mutualiste de Montsouris [IMM]
Defourneaux, Véronique [Auteur]
Hôpital Sud [CHU Rennes]
Maggiorri, Léon [Auteur]
Hopital Saint-Louis [AP-HP] [AP-HP]
Rebibo, Lionel [Auteur]
AP-HP - Hôpital Bichat - Claude Bernard [Paris]
Christou, Niki [Auteur]
CHU Limoges
Talal, Ali [Auteur]
Centre Hospitalier Fernand-Léger d'Argentan [CH Argentan]
Mege, Diane [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Aix Marseille Université [AMU]
Aubert, Mathilde [Auteur]
Hôpital de la Timone [CHU - APHM] [TIMONE]
Aix Marseille Université [AMU]
Bonnamy, Cécile [Auteur]
Centre Hospitalier Aunay-Bayeux [CH Aunay-Bayeux]
Germain, Adeline [Auteur]
Service de Chirurgie Digestive Hépatobiliaire et Endocrine [CHRU Nancy]
Mauvais, François [Auteur]
Tresallet, Christophe [Auteur]
Université Sorbonne Paris Nord
Hôpital Avicenne [AP-HP]
Roudie, Jean [Auteur]
Centre Hospitalier Universitaire de Martinique [Fort-de-France, Martinique] [CHU de Martinique]
Laurent, Alexis [Auteur]
Centre Hospitalier Intercommunal de Créteil [CHIC]
Trilling, Bertrand [Auteur]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
Bertrand, Martin [Auteur]
Massalou, Damien [Auteur]
Université Nice Sophia Antipolis (1965 - 2019) [UNS]
Hôpital l'Archet
Romain, Benoit [Auteur]
Université de Strasbourg [UNISTRA]
Hôpital de Hautepierre [Strasbourg]
Tranchart, Hadrien [Auteur]
AP-HP - Hôpital Antoine Béclère [Clamart]
Ouaissi, Mehdi [Auteur]
Université de Tours [UT]
Hôpital Trousseau
Pellegrin, Alexandra [Auteur]
Simplification des soins chez les patients complexes - UR UPJV 7518 [SSPC]
Chirurgie digestive [CHU Amiens]
Sabbagh, Charles [Auteur]
Simplification des soins chez les patients complexes - UR UPJV 7518 [SSPC]
Chirurgie digestive [CHU Amiens]
Venara, Aurélien [Auteur]
CHU d'Angers [Département Urgences]
The Enteric Nervous System in gut and brain disorders [U1235] [TENS]
Université d'Angers [UA]

Titre de la revue :

Colorectal Disease

Pagination :

1437-1446

Éditeur :

Wiley

Date de publication :

2024-06-17

ISSN :

1462-8910

Mot(s)-clé(s) en anglais :

anastomotic leakage
anastomotic stenosis
diverticulitis
pelvic abscess
surgery

Discipline(s) HAL :

Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Chirurgie
Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Hépatologie et Gastroentérologie

Résumé en anglais : [en]

Aim The aim of this work was to investigate the association between early postoperative anastomotic leakage or pelvic abscess (AL/PA) and symptomatic anastomotic stenosis (SAS) in patients after surgery for left colonic ...
Lire la suite >Aim The aim of this work was to investigate the association between early postoperative anastomotic leakage or pelvic abscess (AL/PA) and symptomatic anastomotic stenosis (SAS) in patients after surgery for left colonic diverticulitis. Method This is a retrospective study based on a national cohort of diverticulitis surgery patients carried out by the Association Française de Chirurgie . The assessment was performed using path analyses. The database included 7053 patients operated on for colonic diverticulitis, with surgery performed electively or in an emergency, by open access or laparoscopically. Patients were excluded from the study analysis where there was (i) right‐sided diverticulitis (the initial database included all consecutive patients operated on for colonic diverticulitis), (ii) no anastomosis was performed during the first procedure or (iii) missing information about stenosis, postoperative abscess or anastomotic leakage. Results Of the 4441 patients who were included in the final analysis, AL/PA occurred in 327 (4.6%) and SAS occurred in 82 (1.8%). AL/PA was a significant independent factor associated with a risk for occurrence of SAS (OR = 3.41, 95% CI = 1.75–6.66), as was the case for diverting stoma for ≥100 days (OR = 2.77, 95% CI = 1.32–5.82), while central vessel ligation proximal to the inferior mesenteric artery was associated with a reduced risk (OR = 0.41; 95% CI = 0.19–0.88). Diverting stoma created for <100 days or ≥100 days was also a factor associated with a risk for AL/PA (OR = 3.08, 95% CI = 2–4.75 and OR = 12.95, 95% CI = 9.11–18.50). Interestingly, no significant association between radiological drainage or surgical management of AL/PA and SAS could be highlighted. Conclusion AL/PA was an independent factor associated with the risk for SAS. The treatment of AL/PA was not associated with the occurrence of anastomotic stenosis. Diverting stoma was associated with an increased risk of both AL/PA and SAS, especially if it was left for ≥100 days. Physicians must be aware of this information in order to decide on the best course of action when creating a stoma during elective or emergency surgery.Lire moins >

Langue :

Anglais

Vulgarisation :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL