Oversewing staple lines to prevent anastomotic complications in primary ileocolic resections for Crohn's disease

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Maria WidmarAlexander J Greenstein

Abstract

Oversewing staple lines may be a novel way to reduce anastomotic complications after primary ileocolic resections for Crohn's disease (CD). This is a single-institution, non-concurrent cohort study of CD patients undergoing primary ileocolic resections (ICR) with stapled anastomoses from 2007 to 2013. Demographic and clinical characteristics were collected. Propensity scores were calculated for oversewing versus not. Postoperative outcomes within 30 days of surgery were collected. Anastomotic leak, intra-abdominal abscess, small bowel obstruction, and anastomotic bleed were considered major anastomotic complications (MACs). Multivariate analysis controlling for inverse probability weights was used to identify predictors of MACs. A total of 269 patients were included, of which 120 had undergone oversewing (OS). After controlling for propensity scores, not oversewing (NOS) and OS groups were similar in all preoperative characteristics with the exception of more laparoscopic resections and intracorporeal anastomoses in the NOS group. On univariate analysis, OS was protective against MACs (odds ratio (OR) 0.29, p < 0.01). In a multivariable model using inverse propensity weights and controlling for laparoscopic and intracorporeal a...Continue Reading

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Citations

Feb 18, 2016·Techniques in Coloproctology·Y RudnickiS Avital
Oct 26, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Norimitsu ShimadaTaijiro Sueda
Feb 9, 2020·Veterinary Surgery : VS·Mark J FealeyFernando Garcia-Pereira
Dec 7, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Chang WuMao-Min Song

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