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Does Oversewing Stapled Ileocolic Anastomoses for Crohn’s Disease Reduce Anastomotic Complications? An Inverse-Probability Weighting Analysis of a Single Centre Cohort

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Patients undergoing an ileocolic resection (ICR) for Crohn’s disease (CD) are at risk of anastomotic leak (AL) and temporary stoma, resulting in longer hospital admissions and reinterventions.1 Some surgeons oversew… Click to show full abstract

Patients undergoing an ileocolic resection (ICR) for Crohn’s disease (CD) are at risk of anastomotic leak (AL) and temporary stoma, resulting in longer hospital admissions and reinterventions.1 Some surgeons oversew stapled anastomoses to reinforce the staple lines to potentially reduce the risk of AL. Only one retrospective comparative study has compared oversewn stapled anastomoses (OSA) with stapled anastomoses (SA), reporting a reduced risk of major anastomotic complications in the OSA cohort.2 The objective of this study is to assess the impact of ileocolic oversewn versus non-oversewn anastomoses on anastomotic leak, overall anastomotic sepsis, reoperation, and the need for ileostomy in patients who underwent a primary or redo-ICR for CD.

Keywords: crohn disease; stapled anastomoses; anastomotic complications; cohort; oversewing stapled

Journal Title: Journal of Gastrointestinal Surgery
Year Published: 2022

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