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December 1, 2009World Journal of Surgery

Increased Serum Levels of C‐Reactive Protein Precede Anastomotic Leakage in Colorectal Surgery

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Key result

Prolonged elevation of C-reactive protein preceded anastomotic leakage, which occurred in 7.6% of patients and was associated with significantly higher in-hospital mortality (11.5% vs 2.8%).

Why the study?

Does prolonged elevation of serum CRP predict anastomotic leakage in patients undergoing colorectal surgery?

Population

342 patients undergoing colorectal resections with primary anastomosis

Comparison

Daily serum CRP measurement until postoperative… vs Patients who did not develop anastomotic leakage

Design

Cohort

Follow-up

Until postoperative day 7 or AL diagnosis

Authors

GWGuido WoesteGoethe University FrankfurtCMChristine MüllerUniversity Medical Center GroningenWBWolf O. BechsteinGoethe University Frankfurt

Discussion

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Implication

May support serial CRP monitoring to flag anastomotic leak risk after colorectal surgery; hypothesis-generating and requires prospective validation.

Study Design

Type

Cohort (n=342)

Multicenter

No

Structured PICO

Does prolonged elevation of serum CRP predict anastomotic leakage in patients undergoing colorectal surgery?

P
Population
342 patients undergoing colorectal resections with primary anastomosis, evaluated retrospectively for postoperative C-reactive protein levels and anastomotic leakage.
E
Exposure
Daily serum CRP measurement until postoperative day 7
C
Comparator
Patients who did not develop anastomotic leakage
O
Outcome
Anastomotic leakage (AL)surrogate

Main Result

Absolute Event Rate: 11.5% vs 2.8%

Prolonged elevation and a missing decline in serum CRP levels precede the occurrence of anastomotic leakage after colorectal surgery.

Cite This Study

Woeste et al. (2009) conducted a cohort in Colorectal surgery (n=342). Anastomotic leakage vs. No anastomotic leakage was evaluated on In-hospital mortality. Prolonged elevation of C-reactive protein preceded anastomotic leakage, which occurred in 7.6% of patients and was associated with significantly higher in-hospital mortality (11.5% vs 2.8%).

synapsesocial.com/papers/6a20e85be72f0fa382ecbb2chttps://doi.org/10.1007/s00268-009-0304-z
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Also Consider

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