Volume : X, Issue : V, May - 2020

A study on Predictors of anastomotic leaks following Gastrointestinal surgeries

Dr. Om Prakash Bharti, Dr. Manish Mandal

Abstract :

Background: Intestinal surgeries are the most common cases being done either in elective or emergency departments. Anastomotic leakage is a serious complication of gastrointestinal surgery resulting in increased morbidity and mortality. The goal of our study was to evaluate the significance of possible risk factors in the postoperative anastomotic leaks following GI surgeries. Timely identification of the predictors for anastomotic leaks and management will reduce significant morbidity and mortality in patients. Materials and Methods: The study was done in Department of Gastro intestinal Surgery, Indira Gandhi Institute Medical Sciences, Patna, Bihar, from January 2019 to Feuary 2020. In this study, 75 cases were taken who had undergone laparoscopic/open gastrointestinal surgeries with resection and anastomosis in our hospital. The preoperative and postoperative factors identified in individual patient and analysed. Outcome of patients was recorded as mortality rate and postoperative hospital stay Results: In this study there were total 75 patients. Total number of males and females are 56 and 19. Mean age was 40 +/– 2 years of age. Out of 75, 28 underwent laparoscopic GI surgery and 47 underwent open surgery. Anastomotic leak occurred in 13(17.3%) patients. These risk factors should be considered before and during the surgical care of colorectal patients. The mean postoperative period for diagnosis of anastomotic leakage was 9 days range (5–16) days. Different predictors found to be significantly affecting the outcome of anastomosis were age of the patients, smoker versus non–smoker, preoperative deranged LFT, Anaemia, Hypo albuminemia, radiation and anti T.B. Type of surgery elective versus emergency, level of anastomosis small bowel and large bowel, Intraoperative blood loss. Mortality rate was 6/13 cases with AL. Conclusion– Anastomotic leak after large bowel resection is a very serious complication with a great impact on patient’s morbidity and mortality. Detection of predictors of AL in time and proper treatment will reduce morbidity and mortality in patients undergoing GI surgeries

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

A STUDY ON PREDICTORS OF ANASTOMOTIC LEAKS FOLLOWING GASTROINTESTINAL SURGERIES, Dr. Om Prakash Bharti, Dr. Manish Mandal INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-5 | May-2020


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