Colorectal resection in emergency general surgery: An EAST multicenter trial
The Journal of Trauma and Acute Care Surgery Nov 26, 2020
Aicher BO, Hernandez MC, Betancourt-Ramirez A, et al. - Since evidence comparing stoma creation (STM) vs anastomosis after urgent or emergent colorectal resection is insufficient, researchers analyzed outcomes after colorectal resection in emergency general surgery patients. It was an Eastern Association for the Surgery of Trauma-sponsored prospective observational multicenter study of patients undergoing urgent/emergent colorectal resection. In total, 439 patients were registered. Diverticulitis was the most common indication for surgery. This research demonstrates a tendency to perform fecal diversion in patients who are acutely ill at presentation. In STM patients, there is a higher morbidity and mortality rate. Charlson Comorbidity Index, preoperative vasopressor use, steroid use, open abdomen, and intraoperative blood transfusion are independent predictors of mortality. Following adjustment by clinical factors, method of colon management was not linked to surgical complications or mortality.
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