Predicting risk of anastomotic leakage after gastrectomy

A multivariate analysis showed the following adverse risk factors for AL: age > 65 years, hemoglobin < 8.0 g/dL and malnourishment. A multivariable model for AL showed a strong optimism-adjusted discrimination (concordance index, 0.675).

“AL is a terrifying experience that not only threatens the life of the patient but also results in surgeons expending many efforts to manage it. It is one of the most common serious postoperative complications after a gastrectomy for gastric cancer. According to some previous studies, the incidence of AL varies between 0% and 15.0%. A recent metaanalysis of 2484 gastric cancer patients revealed that the incidence of AL after a total gastrectomy was 2.5%”

Tu RH, et al Development of a nomogram for predicting the risk of anastomotic leakage after a gastrectomy for gastric cancer. Eur J Surg Oncol. 2017 Feb;43(2):485-492. Full Text for Emory Users

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