Evaluation of prognostic factors in outcome of bowel anastomosis

Abstract

Serum albumin can serve as a simple and economical prognosticator of outcome in bowel anastomosis and henceforth, can help in surgeon’s choice making as well as clarifying the risk to the patient. A prospective study was carried out to evaluate the risk factors which effect the result of bowel anastomosis. The objective of the study was to recognize the risk factors for anastomotic leak and study the rate of early complications and mortality of intestinal anastomosis. Study included 50 patients undergoing resection and anastomosis for various indications, both emergency and elective from the 1st December of 2016 to 30th June of 2018, at Krishna Institute of Medical Sciences who satisfied inclusion criteria. Patients with intra-abdominal sepsis, anemia, old age and patients treated with perioperative corticosteroids for pulmonary disease carry a substantial risk for anastomotic dehiscence and in these patients it is advised that anastomoses must be protected by a diverting stoma.