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Complications of DLI reversal can cause life-threatening complications and increase patient morbidity. This study compared DLI reversals performed by surgical trainees with those by attending surgeons.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>This retrospective cohort study was performed at a single primary care center on 300 patients undergoing DLI reversal. The primary outcome was morbidity, according to the Clavien-Dindo classification (CDC), with special attention paid to the surgeon\u2019s level of training. The secondary endpoint was postoperative intestinal motility dysfunction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Surgical trainees had significantly longer operation times (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) than attending surgeons. Univariate analyses revealed no influence on the level of training for postoperative morbidity. First bowel movement later than 3\u00a0days after surgery was a significant risk factor for CDC <jats:inline-formula><jats:alternatives><jats:tex-math>$$\\ge$$<\/jats:tex-math><mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\">\n                    <mml:mo>\u2265<\/mml:mo>\n                  <\/mml:math><\/jats:alternatives><\/jats:inline-formula> 3 (OR, 4.348; 96% CI, 1670\u201311.321; <jats:italic>p<\/jats:italic>\u2009=\u20090.003). Independent risk factors for surgical site infections (SSIs) were an elevated BMI (OR, 1.162; 95% CI, 1.043\u20131.1294; <jats:italic>p<\/jats:italic>\u2009=\u20090.007) and a delayed bowel movement (OR, 3.973; 95% CI, 1.300\u201312.138; <jats:italic>p<\/jats:italic>\u2009=\u20090.015). For postoperative intestinal motility dysfunction, an independent risk factor was a primary malignant disease (OR, 1.980; 95% CI, 1.120\u20133.500; <jats:italic>p<\/jats:italic>\u2009=\u20090.019), and side-to-side stapled anastomosis was a protective factor (OR, 0.337; 95% CI 0.155\u20130.733; <jats:italic>p<\/jats:italic>\u2009=\u20090.006).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Even though surgical trainees needed significantly more time to perform the surgery, the level of surgical training was not a risk factor for increased postoperative morbidity. Instead, delayed first bowel movement was predictive of SSI.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00384-023-04390-0","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T05:03:02Z","timestamp":1682053382000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Short-term outcome of diverting loop ileostomy reversals performed by residents: a retrospective cohort prognostic factor study"],"prefix":"10.1007","volume":"38","author":[{"given":"Clara","family":"von Savigny","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mazen A.","family":"Juratli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Koch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Gruber-Rouh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolf O.","family":"Bechstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1066-7568","authenticated-orcid":false,"given":"Teresa","family":"Schreckenbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"key":"4390_CR1","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1007\/s10151-012-0970-y","volume":"17","author":"DP McCartan","year":"2013","unstructured":"McCartan DP, Burke JP, Walsh SR, Coffey JC (2013) Purse-string approximation is superior to primary skin closure following stoma reversal: a systematic review and meta-analysis. 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The data used in this study were anonymized before use, and the authors were granted permission from the Ethics Committee of Goethe University Frankfurt to generate and use the datasets.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Clara von Savigny, Mazen Juratli, Tatjana Gruber-Rouh, and Teresa Schreckenbach declare that they have no competing interests. Christine Koch reports advisory roles\/travel expenditures for Eisai, Astra Zeneca, Roche, Merck, MSD, and BMS. Wolf Bechstein reports consulting fees from Novartis, payment \/honoraria for lectures, presentations, speaker bureaus, manuscript writing, and educational events from Astellas, Charit\u00e9, Chiesi, Deutscher \u00c4rzteverlag, Else-Kr\u00f6ner-Stiftung, European Society of Organ Transplantation (ESOT), Falk Foundation, Gesundheit \u00d6sterreich GmbH, GORE Deutschland, Medac GmbH, MCI Academy, Novartis, Sanofi, Sanofi-Genzyme, and Sirtex. He reports support for attending meetings and travel from Astellas, Aye Congresse GmbH, Charit\u00e9, Chiesi, Deutscher \u00c4rzteverlag, Deutscher Krebskongress, GORE Deutschland, Hopscotch Paris, Interplan, MCE, Medupdate GmbH, Novartis, and Springer Verlag; participation on a Data Safety Monitoring Board and Advisory Board from Novartis; and leadership and fiduciary role on another board, society, committee or advocacy group, unpaid as past President, Deutsche Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie (DGAV).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"108"}}