{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:01:14Z","timestamp":1792292474025,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,10,24]],"date-time":"2013-10-24T00:00:00Z","timestamp":1382572800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Ileocolic anastomosis is performed using a stapled or manual technique, but with either there is a risk of bleeding from the suture line. The aim of this study was to analyse, retrospectively, bleeding after different anastomotic techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients having elective right colectomy were divided, according to the type of ileocolic anastomosis, into Group 1 (circular, double\u2010stapled, end\u2010to\u2010side), Group 2 (linear\u2010stapled, side\u2010to\u2010side) and Group 3 (handsewn, side\u2010to\u2010side). Postoperative lower gastrointestinal bleeding (<jats:styled-content style=\"fixed-case\">LGIB<\/jats:styled-content>) was studied in the three groups. Uni\u2010 and multivariate analysis was performed to study risk factors for <jats:styled-content style=\"fixed-case\">LGIB<\/jats:styled-content> and the need for postoperative allogeneic blood transfusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three\u2010hundred and fifty patients were included: 174 in Group 1, 59 in Group 2 and 117 in Group 3. The postoperative <jats:styled-content style=\"fixed-case\">LGIB<\/jats:styled-content> rate was 4.9% and occurred exclusively in Group 1. Five patients had severe anastomotic bleeding. Postoperative blood transfusion was indicated in Groups 1, 2 and 3 in 19.0%, 5.1% and 13.7% of patients. In the five patients with severe bleeding, four attempts of colonoscopic arrest were made, achieving bleeding control in one. Angiographic embolization was successful in one patient. There were no procedure\u2010specific complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>End\u2010to\u2010side, circular, double\u2010stapling ileocolic anastomosis seems to be related to an increased incidence of anastomotic bleeding and of postoperative blood transfusion compared with patients having other techniques of ileocolic anastomosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12309","type":"journal-article","created":{"date-parts":[[2013,5,28]],"date-time":"2013-05-28T06:22:37Z","timestamp":1369722157000},"page":"1301-1308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Incidence and management of anastomotic bleeding after ileocolic anastomosis"],"prefix":"10.1111","volume":"15","author":[{"given":"T.","family":"Golda","sequence":"first","affiliation":[{"name":"Colorectal Unit Department of General and Digestive Surgery Bellvitge University Hospital and IDIBELL University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Zerpa","sequence":"additional","affiliation":[{"name":"Colorectal Unit Department of General and Digestive Surgery Bellvitge University Hospital and IDIBELL University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Kreisler","sequence":"additional","affiliation":[{"name":"Colorectal Unit Department of General and Digestive Surgery Bellvitge University Hospital and IDIBELL University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Trenti","sequence":"additional","affiliation":[{"name":"Colorectal Unit Department of General and Digestive Surgery Bellvitge University Hospital and IDIBELL University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Biondo","sequence":"additional","affiliation":[{"name":"Colorectal Unit Department of General and Digestive Surgery Bellvitge University Hospital and IDIBELL University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6070"},{"key":"e_1_2_9_3_1","first-page":"CD003144","article-title":"Stapled versus handsewn methods for colorectal anastomosis surgery","volume":"3","author":"Lustosa SA","year":"2001","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0416-4"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2004.06.002"},{"key":"e_1_2_9_6_1","first-page":"460","article-title":"Endoscopic treatment of postoperative hemorrhage from a stapled colorectal anastomosis","volume":"61","author":"Cirocco WC","year":"1995","journal-title":"Am Surg"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-009-0458-6"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.01.033"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.112068"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00564.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.7.838"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/asp055"},{"key":"e_1_2_9_13_1","first-page":"CD004320","article-title":"Stapled versus handsewn methods for ileocolic anastomoses","volume":"3","author":"Choy PY","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2012.04.003"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2012.02.004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00341273"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-007-0330-5"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3182401e20"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-007-3740-0"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-008-0437-3"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000051946"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001040050481"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2007.01459.x"},{"key":"e_1_2_9_24_1","first-page":"269","article-title":"Infrequent early complication of mechanical digestive anastomosis: bleeding. 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