Correlazioni tra broncopatia cronica ostruttiva e deiscenza dell'anastomosi colica in età geriatrica

Translated title of the contribution: Chronic obstructive pulmonary disease and failure of large bowel anastomosis in the elderly

M. Testini, S. Miniello, G. Piccinni, B. Di Venere, G. Lissidini, E. Esposito, G. M. Bonomo

Research output: Contribution to journalArticle

Abstract

Background: Anastomotic leakage remains a major complication after large bowel surgery. Chronic obstructive pulmonary disease is frequent disease in the elderly. Aims: The authors want to analyze the correlation between systemic tissue hypoxia, resulting from chronic obstructive pulmonary disease and anastomotic leakage in large bowel surgery in a group of patients over 65 years. Patients and methods: In the period 1979-2001 at our surgical Department, 590 patients underwent colorectal surgery; 211 elderly patients (>65 years) with large bowel anastomosis were selected. In 29/211 (13.7%) chronic obstructive pulmonary disease was diagnosed. The group of patients affected by chronic obstructive pulmonary disease was defined as group A; the other, as group B. The incidence of anastomotic leakage in patients with and without chronic obstructive pulmonary disease was evaluated. Results: The overall incidence of anastomotic leakage was 5-6% (12/211); a difference in the incidence of anastomotic leakage was found in the group A vs. B: 7/29 (24.1 %) in the group A were affected by dehiscence vs. 5/182 (2.7 %) of group B. This difference was statistically significant (p = 0.001) Conclusions: Chronic obstructive pulmonary disease can be a factor increasing the risk of anastomotic leakage. The elderly patient is often affected by chronic obstructive pulmonary disease and consequently show an higher risk of colonic anastomostic failure than younger patients.

Translated title of the contributionChronic obstructive pulmonary disease and failure of large bowel anastomosis in the elderly
Original languageItalian
Pages (from-to)247-250
Number of pages4
JournalAnnali Italiani di Chirurgia
Volume74
Issue number3
Publication statusPublished - May 2003

ASJC Scopus subject areas

  • Surgery

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    Testini, M., Miniello, S., Piccinni, G., Di Venere, B., Lissidini, G., Esposito, E., & Bonomo, G. M. (2003). Correlazioni tra broncopatia cronica ostruttiva e deiscenza dell'anastomosi colica in età geriatrica. Annali Italiani di Chirurgia, 74(3), 247-250.