XXXX at the university hospital of the west indies: an analysis of risk factors.

@entity1 @entity834 @entity1661 @entity14 @entity393
BACKGROUND: @entity834 remains a concern in general surgical practice. The significance lies in the resultant @entity1661 , related morbidity and mortality, risk of @entity393 , permanent stoma creation and the effect on local recurrence and overall @entity1 survival in @entity14 cases. OBJECTIVES: This study serves to determine the leak rates and the mortality thereof related to colonic and rectal anastomoses at the University Hospital of the West Indies (UHWI) in Kingston, Jamaica. Independent factors contributing to @entity834 in these @entity1 will also be assessed and correlations determined. METHODS: A review of the medical records of one hundred and thirty-three cases of colonic and rectal anastomoses identified retrospectively over a three-year period provided relevant information for analysis. RESULTS: @entity834 were identified in twelve @entity1 , providing a leak rate of 9.0%. No 30-day mortality related to @entity834 was noted. Based on a multivariate analysis, male gender was identified as the sole independent factor related to @entity834 . Conclusion: Colorectal anastomotic leak rates at UHWI fell at the upper limit of leak rates typically quoted in the literature. No modifiable risk factor appeared to contribute to this leak rate. Early identification and intervention is critical in limiting mortality associated with @entity14 .
