{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T13:14:26Z","timestamp":1773839666756,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The aim of this work was to investigate the association between early postoperative anastomotic leakage or pelvic abscess (AL\/PA) and symptomatic anastomotic stenosis (SAS) in patients after surgery for left colonic diverticulitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This is a retrospective study based on a national cohort of diverticulitis surgery patients carried out by the Association Fran\u00e7aise de Chirurgie\n                      <jats:italic>.<\/jats:italic>\n                      The assessment was performed using path analyses. The database included 7053 patients operated on for colonic diverticulitis, with surgery performed electively or in an emergency, by open access or laparoscopically. Patients were excluded from the study analysis where there was (i) right\u2010sided diverticulitis (the initial database included all consecutive patients operated on for colonic diverticulitis), (ii) no anastomosis was performed during the first procedure or (iii) missing information about stenosis, postoperative abscess or anastomotic leakage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 4441 patients who were included in the final analysis, AL\/PA occurred in 327 (4.6%) and SAS occurred in 82 (1.8%). AL\/PA was a significant independent factor associated with a risk for occurrence of SAS (OR\u2009=\u20093.41, 95% CI\u2009=\u20091.75\u20136.66), as was the case for diverting stoma for \u2265100\u2009days (OR\u2009=\u20092.77, 95% CI\u2009=\u20091.32\u20135.82), while central vessel ligation proximal to the inferior mesenteric artery was associated with a reduced risk (OR\u2009=\u20090.41; 95% CI\u2009=\u20090.19\u20130.88). Diverting stoma created for &lt;100\u2009days or \u2265100\u2009days was also a factor associated with a risk for AL\/PA (OR\u2009=\u20093.08, 95% CI\u2009=\u20092\u20134.75 and OR\u2009=\u200912.95, 95% CI\u2009=\u20099.11\u201318.50). Interestingly, no significant association between radiological drainage or surgical management of AL\/PA and SAS could be highlighted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AL\/PA was an independent factor associated with the risk for SAS. The treatment of AL\/PA was not associated with the occurrence of anastomotic stenosis. Diverting stoma was associated with an increased risk of both AL\/PA and SAS, especially if it was left for \u2265100\u2009days. Physicians must be aware of this information in order to decide on the best course of action when creating a stoma during elective or emergency surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.17076","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T23:59:47Z","timestamp":1718668787000},"page":"1437-1446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Stenosis of the colorectal anastomosis after surgery for diverticulitis: A national retrospective cohort study"],"prefix":"10.1111","volume":"26","author":[{"given":"Jean\u2010Francois","family":"Hamel","sequence":"first","affiliation":[{"name":"Faculty of Health, Department of Medicine University of Angers  Angers France"},{"name":"Department of Biostatistics University Hospital of Angers  Angers 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