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[Early diagnosis of colorectal anastomotic leakages by detection of bacterial genome].

Authors: Turgay, Emet; Yilmaz, Bilsel; Metin, Tilki; Ali, Sürmelioğlu; Yilmaz, User;

[Early diagnosis of colorectal anastomotic leakages by detection of bacterial genome].

Abstract

Microbial infections and translocation of intestinal bacteria are thought to contribute to multiple system organ failure, but bacterial cultures are often negative in patients with this complication. The purpose of this study was to determine the sensitivity of PCR for detecting microbial DNA in the blood of animals after conducting an experimental model of anastomotic leakage.Fourty rats were divided into three groups as follows: Control Group; simple laparotomy group, Anastomosis Group; colon resection and anastomosis group, and Leakage Group; group with colon resection and an anastomosis leaving a 5 mm opening. Blood was drawn form rats before the procedure, and postoperative 3rd and 6th days. DNAs were extracted from these samples and PCR techniques were used to amplify genes of Escherichia coli. Statistical analysis for the percentage of rats with microbial DNA in the blood for all groups was done by Fisher's exact chi- square test. The difference among groups was considered significant if the P value was less than 0.05.Most of the detected Escherichia coli genes were from the Leakage Group, and the detection rate was significant compared to other groups.We suggest that PCR could be a useful adjunct tool for immediate diagnosis of anastomotic leakages.

Keywords

DNA, Bacterial, Colon, Anastomosis, Surgical, Rectum, Bacteremia, Polymerase Chain Reaction, Sensitivity and Specificity, Rats, Postoperative Complications, Predictive Value of Tests, Escherichia coli, Animals, Rats, Wistar

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citations
The total number of citations received by all articles of the researcher of interest.
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Average
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