2023, Vol. 5, Issue 2, Part A
Risk factors and surgical outcomes of anastomotic leakage after gastrointestinal surgery in Al-Hussein teaching hospital
Author(s): Adil Rahman Faraj Al-Budaerany and Haider Yihya Naeif
Abstract: Background: Anastomotic leakage still presents as one of the most serious complications following gastrointestinal surgery, markedly contributing to postoperative morbidity and mortality. It is important to identify local risk factors and outcomes in the Iraqi healthcare systems to enhance patient care. The objective is to identify risk factors for anastomotic leakage after gastrointestinal surgery and assess the surgical outcomes given to patients treated at Al-Hussein Teaching Hospital in Samawah.
Methods: A retrospective cohort study in 385 patients who had gastrointestinal anastomosis from January 2021 to December 2022 was performed. All aspects of patient demographics, surgical characteristics, perioperative factors, and postoperative outcomes were considered. Anastomotic leakage was defined based on the criteria of the International Study Group of Rectal Cancer guidelines.
Results: 42 patients had anastomotic leakage (10.9%). Notably, risk factors were male gender (OR 2.34, p=0.012), diabetes mellitus (OR 3.12, p=0.003), malnutrition (OR 2.87, p=0.006), emergency surgery (OR 2.95, p=0.004), length of operative time (OR 2.43, p=0.015), anastomosis in rectum (OR 3.45, p=0.001). Longer hospital stays (23.4±8.6 vs 9.2±3.4 days, p<0.001) were associated with anastomotic leakage, whereas higher reoperation rates were reported (64.3% vs 4.1%, p<0.001), with a higher chance of mortality (14.3% vs 1.7%, p<0.001).
Conclusion: Intestinal surgery-associated anastomotic leak has been linked to certain patient-specific, as well as surgical-associated factors. Improvement of metabolic status and glycemic control and the identification and targeting of modifiable risk factors might decrease the rate of leak in our cohort.
DOI: 10.22271/27081494.2023.v5.i2a.251Pages: 13-18 | Views: 77 | Downloads: 27Download Full Article: Click Here
How to cite this article:
Adil Rahman Faraj Al-Budaerany, Haider Yihya Naeif.
Risk factors and surgical outcomes of anastomotic leakage after gastrointestinal surgery in Al-Hussein teaching hospital. Int J Case Rep Surg 2023;5(2):13-18. DOI:
10.22271/27081494.2023.v5.i2a.251
