Technical risk factors for benign anastomotic strictures in colorectal and/or coloanal anastomosis: A retrospective case–control study
Failure to mobilize the splenic flexure and to perform high ligation of the inferior mesenteric vessels were associated with higher odds of anastomotic stricture. A small-diameter circular stapler and multiple distal stapler firings were also associated with anastomotic stricture. These data support routine splenic flexure ligation and high ligation of the inferior mesenteric vessels as well as avoidance of both multiple stapler firings for rectal transection and a 25-mm circular stapler for anastomosis.
Authors
- Rachel Gefen (ORCID: https://orcid.org/0000-0002-8501-131X)
- Peter Rogers (ORCID: https://orcid.org/0000-0003-0963-7094)
- Nir Horesh (ORCID: https://orcid.org/0000-0002-2459-8567)
- Steven D. Wexner (ORCID: https://orcid.org/0000-0001-8046-5753)
- Peige Zhou (ORCID: https://orcid.org/0000-0002-2651-0506)
- Sameh Hany Emile (ORCID: https://orcid.org/0000-0001-7854-5244)
- Zoe Garoufalia (ORCID: https://orcid.org/0000-0002-1766-9777)
- Gil Valdo José da Silva (ORCID: https://orcid.org/0000-0003-0604-5536)
- Sarinya Meknarit (ORCID: https://orcid.org/0000-0001-7820-2903)
Institutions
- Hebrew University of Jerusalem (IL)
- Sheba Medical Center (IL)
- Mansoura University Hospital (EG)
- Cleveland Clinic Florida (US)
- Florida Atlantic University (US)
Publication Details
- Journal
- Colorectal Disease
- Published
- 2024-10-02
- DOI
- https://doi.org/10.1111/codi.17184
- Citations
- 2
- Primary Topic
- Colorectal Cancer Surgical Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.57