{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:15:18Z","timestamp":1767705318410,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T00:00:00Z","timestamp":1558310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004886","name":"Cancer Research Foundation in Northern Sweden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004886","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007687","name":"Svenska L\u00e4kares\u00e4llskapet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007687","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The incidence of mesenteric ischaemia after resection for rectal cancer has not been investigated in a population\u2010based setting. The use of high ligation of the inferior mesenteric artery might cause such ischaemia, as the bowel left <jats:italic>in situ<\/jats:italic> depends on collateral blood supply after a high tie.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The Swedish Colorectal Cancer Registry was used to identify all patients subjected to an abdominal resection for rectal cancer during the years 2007\u20132017 inclusive. Mesenteric ischaemia within the first 30 postoperative days was recorded, classified as either stoma necrosis or colonic necrosis. Multivariable logistic regression was used to estimate odds ratios (ORs) with 95% confidence intervals (CIs) for mesenteric ischaemia in relation to high tie, with adjustment for confounding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Some 14\u00a0657 patients were included, of whom 59 (0.40%) had a reoperation for any type of mesenteric ischaemia, divided into 34 and 25 cases of stoma necrosis and colonic necrosis, respectively. Compared with patients who did not require reoperation for mesenteric ischaemia following rectal cancer surgery, the proportion having high tie was greater (54.2% <jats:italic>vs<\/jats:italic> 38.5%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.032). The adjusted OR for reoperation due to any mesenteric ischaemia with high tie was 2.26 (95% CI 1.34\u20133.79), while the corresponding estimates for stoma and colonic necrosis, respectively, were 1.60 (95% CI 0.81\u20133.17) and 3.69 (95% CI 1.57\u20138.66).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of reoperation for mesenteric ischaemia after abdominal resection for rectal cancer is low, but the use of a high tie might increase the risk of colonic necrosis demanding surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14674","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T07:44:36Z","timestamp":1557215076000},"page":"925-931","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A nationwide study on the incidence of mesenteric ischaemia after surgery for rectal cancer demonstrates an association with high arterial ligation"],"prefix":"10.1111","volume":"21","author":[{"given":"K.","family":"S\u00f6relius","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences Section of Vascular Surgery Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Svensson","sequence":"additional","affiliation":[{"name":"Department of Surgical and Perioperative Sciences Surgery Ume\u00e5 University Ume\u00e5 Sweden"},{"name":"Department of Statistics Ume\u00e5 School of Business, Economics and Statistics Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Matthiessen","sequence":"additional","affiliation":[{"name":"Department of Surgery Faculty of Medicine and Health \u00d6rebro University \u00d6rebro Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Ruteg\u00e5rd","sequence":"additional","affiliation":[{"name":"Department of Surgical and 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