Diclofenac causes anastomotic leakage in the proximal colon but not in the distal colon of the rat - 18/06/15
, Roger M.L.M. Lomme, B.Sc., Rozemarijn J. van der Vijver, M.D., Ph.D., Thijs Hendriks, Ph.D., Kees J.H.M. van Laarhoven, M.D., Ph.D., Harry van Goor, M.D., Ph.D.Abstract |
Background |
Nonsteroidal anti-inflammatory drugs have been associated with anastomotic leakage. It was studied if diclofenac affects anastomoses differently depending on the location in the gut.
Methods |
Ninety-five rats were randomized to 6 groups with an anastomosis in either ileum (IL), proximal colon (PC), or distal colon (DC). Groups IL+ (n = 10), PC+ (n = 30), and DC+ (n = 10) received diclofenac (3 mg/kg/day) from day 0 until sacrifice on day 3. Group PC− (n = 15) did not receive diclofenac. Groups PC1+ and PC2+ (n = 15 each) were given diclofenac from day 1 to 4 and from day 2 to 5.
Results |
Leak rates were 10/10 in group IL+, 22/30 in PC+, 1/10 in DC+, and 1/15 in PC−. Delayed administration of diclofenac by 1 or 2 days (6/15, P = .05) resulted in reduced leakage rates. Mechanical strength results corresponded with leak rates.
Conclusions |
Diclofenac causes leakage of anastomoses in rat IL and PC, but not in the DC. This suggests a role for the ileal and proximal colonic content in diclofenac-induced leakage.
Le texte complet de cet article est disponible en PDF.Keywords : Anastomotic leakage, NSAID, Diclofenac, Ileum, Colon
Plan
| The research leading to the results presented in this article was performed without external funding. |
Vol 210 - N° 2
P. 382-388 - août 2015 Retour au numéro
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