دورية أكاديمية
أعرض في EDS

Small bowel anastomosis in peritonitis compared to enterostomy formation: a systematic review.

التفاصيل البيبلوغرافية
العنوان: Small bowel anastomosis in peritonitis compared to enterostomy formation: a systematic review.
المؤلفون: Skovsen AP; Surgical Department, Hillerød Hospital, University of Copenhagen, Hillerød, Denmark. skovsen@dadlnet.dk., Burcharth J; Surgical Department, Herlev Hospital, University of Copenhagen, Herlev, Denmark., Gögenur I; Surgical Department, Zealand University Hospital, University of Copenhagen, Køge, Denmark.; Center for Surgical Science, Zealand University Hospital, Køge, Denmark., Tolstrup MB; Surgical Department, Hillerød Hospital, University of Copenhagen, Hillerød, Denmark.
المصدر: European journal of trauma and emergency surgery : official publication of the European Trauma Society [Eur J Trauma Emerg Surg] 2023 Oct; Vol. 49 (5), pp. 2047-2055. Date of Electronic Publication: 2022 Dec 16.
نوع المنشور: Journal Article; Review; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Springer Heidelberg Country of Publication: Germany NLM ID: 101313350 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-9941 (Electronic) Linking ISSN: 18639933 NLM ISO Abbreviation: Eur J Trauma Emerg Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Heidelberg : Springer Heidelberg
Original Publication: Munich : Urban & Vogel, 2007-
مواضيع طبية MeSH: Enterostomy* , Peritonitis*/etiology , Peritonitis*/surgery, Animals ; Humans ; Anastomosis, Surgical ; Anastomotic Leak/surgery ; Retrospective Studies
مستخلص: Purpose: Anastomotic leakage after small bowel resection in emergency laparotomy is a severe complication. A consensus on the risk factors for anastomotic leakage has not been established, and it is still unclear if peritonitis is a risk factor. This systematic review aimed to evaluate if an entero-entero/entero-colonic anastomosis is safe in patients with peritonitis undergoing abdominal acute care surgery.
Methods: A systematic literature review based on PRISMA guidelines was performed, searching the databases Pubmed/MEDLINE, Cochrane Library, and Science Direct for studies of anastomosis in peritonitis. Patients with an anastomosis after non-planned small bowel resection (ischemia, perforation, or strangulation), including secondary peritonitis, were included. Elective laparotomies and colo-colonic anastomoses were excluded. Due to the etiology, traumatic perforation, in-vitro, and animal studies were excluded.
Results: This review identified 26 studies of small-bowel anastomosis in peritonitis with a total of 2807 patients. This population included a total of 889 small-bowel/right colonic resections with anastomoses, and 242 enterostomies. All studies, except two, were retrospective reviews or case series. The overall mortality rates were 0-20% and anastomotic leakage rates 0-36%. After performing a risk of bias evaluation there was no basis for conducting a meta-analysis. The quality of evidence was rated as low.
Conclusion: There was no evidence to refute performing a primary small-bowel anastomosis in acute laparotomy with peritonitis. There is currently insufficient evidence to label peritonitis as a risk factor for anastomotic leakage in acute care laparotomy with small-bowel resection.
Trial Registration: The review was registered with the PROSPERO register of systematic reviews on 14/07/2020 with the ID: CRD42020168670.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
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فهرسة مساهمة: Keywords: Acute care surgery; Anastomosis; Anastomotic leakage; Emergency surgery; Laparotomy; Peritonitis
تواريخ الأحداث: Date Created: 20221216 Date Completed: 20230926 Latest Revision: 20230926
رمز التحديث: 20230926
DOI: 10.1007/s00068-022-02192-7
PMID: 36526812
قاعدة البيانات: MEDLINE
الوصف
تدمد:1863-9941
DOI:10.1007/s00068-022-02192-7