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| 1 | Factors determining delay in relaparotomy for anastomotic leakage after colorectal resection显示文摘AIM: To analyze the time interval ('delay') between the first occurrence of clinical parameters associated with anastomotic leakage after colorectal resection and subsequent relaparotomy. METHODS: In 36 out of 289 consecutive patients with colorectal anastomosis, leakage was confirmed at relaparotomy. The medical records of these patients were retrospectively analysed and type and time of appearance of clinical parameters suggestive of anastomotic leakage were recorded. These parameters included heart rate, body temperature, local or generalized peritoneal reaction, leucocytosis, ileus and delayed gastric emptying. Factors influencing delay of relaparotomy and consequences of delayed recognition and treatment were determined. RESULTS: First documentation of at least one of the predefined parameters for anastomotic leakage was after a median interval of 4 ± 1.7 d after the operation. The median number of days between first parameter(s) associated with leakage and relaparotomy was 3.5 ± 5.7 d. The time interval between the first signs of leakage and relaparotomy was significantly longer when a weekend was included (4.2 d vs 2.4 d, P = 0.021) or radiological evaluation proved to be false-negative (8.1 d vs 3.5 d, P = 0.007). No significant association between delay and number of additional relaparotomies, hospital stay or mortality could be demonstrated. CONCLUSION: An intervening weekend and negative diagnostic imaging reports may contribute to a delay in diagnosis and relaparotomy for anastomotic leakage. That delay was more than two days in two-thirds of the patients. | A Doeksen PJ Tanis BC Vrouenraets JJB Lanschot van WF Tets van | 2007 | World Journal of Gastroenterology2007，13，27： | 17 |
| 2 | Voluntary facial expression and hemispheric asymmetry over the frontal cortex显示文摘 | Coan JA Allen JJB Harmon-Jones E | 2001 | Psychophysiology2001，38，6： | 1 |
| 3 | Utility of serum activity of angiotensin- converting enzyme as a tumor marker显示文摘 | Varela AS Lopez Saez JJB | 1993 | Oncology1993，50，6： | 1 |
| 4 | Influence of the management of the soil and covers in the canopy microclimate of vine, grape and wine composition显示文摘 | Nazrala JJB | 2008 | Revista de La Facultad de Ciencias Agrarias2008，40，1： | 1 |
| 5 | The role of psychophysiology in fo- rensic assessments: Deception detection, ERPs, and vir- tual reality mock crime scenarios 显示文摘 | Mertens R Allen JJB | 2008 | Psychophysiology2008，45，2： | 1 |
| 6 | Acupuncture: apromising treatment for depression during pregnancy 显示文摘 | Manber R Schnyer RN Allen JJB | 2004 | J Af-fect Disord2004，83，1： | 1 |
| 7 | Soy isoflavones: no effects onbone mineral contentand bone mineral density in healthy ,menstruating young adult women after one year显示文摘 | Anderson JJB Chen XW Boass A | 2002 | J Am Coff Nutr2002，21，38： | 1 |
| 8 | The stability of restingfrontal electroencephaiographic asymmetry in depression 显示文摘 | ALLEN JJB URRY HL HITT SK | 2004 | Psy-chophysiology2004，41，2： | 1 |
| 9 | Isoflavones and skeletal health: are these molecules ready for clinical application? 显示文摘 | Migliaccio S Anderson JJB | 2003 | Osteoporoslnt2003，14，： | 1 |
| 10 | Effect of protein intake on Calcium balance of youmg men given 500mg calcium daily 显示文摘 | Anand JJB Links wiler HM | 1974 | 3 Nutr1974，104，： | 1 |
| 11 | Recurrence pattern of esophageal cancinoma after limited resection does not support wide local excision with extensive lymph node dissection 显示文摘 | Lanschot JJB Tilanus HW Voormolen MHJ | 1994 | Br J Surg1994，81，： | 1 |
| 12 | Physiological concen-tration of genistein stimulates the proliferation and protect against free radical-induced oxidative damage of MC3T3- E1 osteoblast-like cells 显示文摘 | Lee YS Chen XW Anderson JJB | 2001 | Nutrition Research2001，21，： | 1 |
| 13 | Intratracheal Diverticulum显示文摘 | Perez JMH Negrin LP Martin JJB | 2005 | J Bronchol2005，12，： | 1 |
| 14 | Physiological concentrations of genistein stimulate the proliferation and protect against free radical-induced oxida- tive damage of MC3T3-E1 osteoblast-like cells显示文摘 | Lee YS Chen X Anderson JJB | 2001 | Nutr Res2001，21，9： | 1 |
| 15 | Lack of association of TPH2 exon Ⅺ polymorphisms with major depression and treatmenl resistance显示文摘 | Garriock HA Allen JJB Delgado P | 2005 | Molecular Psychiatry2005，10，11： | 1 |
| 16 | Soy isoflavones: no effects on bone mineral content and bone mineral density in healthy, menstruating young adult women after one year显示文摘 | Anderson JJB Chen XW Boass A | 2002 | J Am Coil Nutr2002，21，： | 1 |
| 17 | The stability of resting frontal electroencephalographic asymmetry in depression 显示文摘 | Allen JJB Urry HL Hitt SK | 2004 | Psyehophysiology2004，41，： | 1 |
| 18 | Prediction of actual cracking and subsidence in clay soil显示文摘 | Bronswijk JJB | 1989 | Soil Sci1989，148，2： | 1 |
| 19 | 显示文摘 | Anderson JJB | 1999 | Nutr Res1999，12，： | 1 |
| 20 | Effects of phyto-estrogen on tissues显示文摘 | Anthony M Messina M | 1999 | Nutr Res Rev1999，12，： | 1 |
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