Anterior resection for XXXX - risk factors for @entity834 and strictures.

@entity1 @entity834 @entity5 @entity254 @entity189
AIM: To determine the incidence and factors responsible for @entity834 and stricture following anterior resection (AR) and its subsequent management. METHODS: Retrospective analysis of data from 108 @entity1 with @entity189 who underwent AR or low anterior resection (LAR) to identify the various preoperative, operative, and post operative factors that might have influence on @entity834 and strictures. RESULTS: There were 68 males and 40 females with an average of 47 years (range 21-75 years). The median distance of the @entity5 from the anal verge was 8 cm (range 3-15 cm). Sixty (55.6%) @entity1 underwent handsewn @entity254 and 48 (44.4%) were stapled. The median operating time was 3.5 h (range 2.0-7.5 h). Sixteen (14.6%) @entity1 had an @entity834 . Among these, 11 @entity1 required re-exploration and five were managed expectantly. The @entity834 rate was similar in @entity1 with and without diverting stoma (8/60, 13.4% with stoma and 8/48; 16.7% without stoma). In 15 (13.9%) @entity1 , resection margins were positive for @entity5 . Nineteen (17.6%) @entity1 developed anastomotic strictures at a median duration of 8 mo (range 3-20 mo). Among these, 15 @entity1 were successfully managed with per-anal dilatation. On multivariate analysis, advance age (> 60 years) was the only risk factor for @entity834 (P = 0.004). On the other hand, @entity834 (P = 0.00), mucin positive @entity5 (P = 0.021), and lower rectal growth (P = 0.011) were found as risk factors for the development of an anastomotic stricture. CONCLUSION: Advance age is a risk factor for an @entity834 . An @entity834 , a mucin-secreting @entity5 , and lower rectal growth predispose @entity1 to develop anastomotic strictures.
