• Bryan C Morse, Joshua P Simpson, Yonge R Jones, Brent L Johnson, Brianna M Knott, and Jennifer A Kotrady.
• Academic Department of Surgery, Division of General Surgery, Greenville Memorial Hospital, University of South Carolina School of Medicine-Greenville, 3rd Floor, 701 Grove Road, Greenville, SC 29605, USA. Electronic address: bcmorse@ghs.org.
• Am. J. Surg. 2013 Dec 1;206(6):950-5; discussion 955-6.

BackgroundThe objective of this study was to identify risk factors associated with intestinal anastomotic leakage in order to practically assist in surgical decision making.MethodsA retrospective review of an academic surgery database was performed over 5 years to identify patients who had intestinal (small bowel and colon) anastomoses to determine independent predictors of anastomotic leakage.ResultsOver the study period, 682 patients were identified with intestinal anastomoses; the overall leak rate was 5.6% (38/682). In bivariate analysis, 9 factors were associated with anastomotic leaks. Of these, 3 were found to be independent predictors of anastomotic leakage using a logistic regression model: anastomotic tension (odds ratio [OR] = 10.1, 95% Confidence Interval [CI] 1.3 to 76.9), use of drains (OR = 8.9, 95% CI 4.3 to 18.4), and perioperative blood transfusion (OR = 4.2, 95% CI 1.4 to 12.3).ConclusionsThe recognition of factors associated with anastomotic leakage after intestinal operations can assist surgeons in mitigating these risks in the perioperative period and guide intraoperative decisions.Copyright © 2013 Elsevier Inc. All rights reserved.

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