• Ann Pharmacother · Dec 2014

    Use of nonsteroidal anti-inflammatory drugs in colorectal surgery: do the risks cast a shadow on the benefits?

    • Mélissa Blouin and Marc Rhainds.
    • CHU de Québec, Québec, Canada.
    • Ann Pharmacother. 2014 Dec 1; 48 (12): 1662-4.

    AbstractNonsteroidal anti-inflammatory drug (NSAID) use is recognized as a key component of the Enhanced Recovery After Surgery protocols and is systematically recommended in colorectal surgery to optimize perioperative care. However, a red flag about this practice has been raised because clinical studies have recently pointed out an increased risk of anastomotic leak after colorectal surgery following NSAID administration. Therefore, we used the Bradford Hill criteria to examine this potential relationship and concluded that use of perioperative NSAIDs in colorectal surgery should be evaluated carefully and on an individual basis considering the potentially increased risk of anastomotic leak and its consequences.© The Author(s) 2014.

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