Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Predicting anastomotic disruption after emergent small bowel surgery.

Amit Nair1, Dinker R Pai, S Jagdish

  • 1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. nair_amit@hotmail.com

Digestive Surgery
|May 24, 2006
PubMed
Summary

Emergent small bowel anastomoses have a high leak risk. Key risk factors for suture line disruption include low albumin, low sodium, and intraoperative hypotension, suggesting stoma creation may be safer.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Letter to the Editor: Flavin mononucleotide and hypothermic oxygenated perfusion-prognosticating mitochondrial reconditioning.

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·2026
Same author

Safety of living liver donation: Experience and learning curve at a new living donor liver transplant program in the United States.

Surgery·2026
Same author

Laparoscopic vs. robotic cholecystectomy for patients with cirrhosis: A propensity score-matched, single center analysis.

Journal of robotic surgery·2026
Same author

Impact of Cardiopulmonary Resuscitation Health Care Workers' Physical Health Parameters on Cardiopulmonary Resuscitation Performance Quality in Simulated Manikin-Based Settings-A Systematic Review.

Journal of the American College of Emergency Physicians open·2026
Same author

Liver lesions in Fontan-associated liver disease: current challenges and future directions.

Current opinion in cardiology·2026
Same author

First FDA approved experience with histotripsy for liver cancer management.

International journal of surgery (London, England)·2025

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Patient Safety

Background:

  • Emergent small bowel anastomoses carry a significant risk of anastomotic leakage.
  • Technical precision alone does not eliminate the risk of dehiscence in these critical situations.
  • Identifying contributing factors to anastomotic failure is crucial for improving outcomes.

Purpose of the Study:

  • To investigate preoperative, intraoperative, and postoperative variables associated with anastomotic dehiscence in emergent small bowel surgery.
  • To identify specific risk factors that predict suture line disruption after emergency bowel anastomosis.

Main Methods:

  • Prospective study of 74 emergency small bowel anastomoses in 70 patients over 21 months.
  • Comparison of variables between patients with anastomotic disruption (case group) and those without (control group).

Related Experiment Videos

  • Statistical analysis of preoperative, intraoperative, and postoperative data to identify associations with dehiscence.

    • Main Results:

    • Anastomotic disruption (leakage) occurred in 35% (26 of 74) of cases.
    • Hypoalbuminemia (p=0.004), hyponatremia at presentation (p=0.012), and intraoperative hypotension (p=0.042) were significantly associated with anastomotic leakage.
    • No significant association was found between the duration of symptoms, primary bowel pathology, or anastomotic level and leakage.

    Conclusions:

    • Hypoalbuminemia, hyponatremia, and intraoperative hypotension are significant risk factors for leakage in emergent small bowel anastomoses.
    • Consideration of a temporary stoma or bowel exteriorization may be a safer alternative to primary anastomosis in high-risk patients.
    • These findings highlight the importance of optimizing patient condition and considering alternative surgical strategies to mitigate anastomotic failure.