Mucosal cancer-associated microbes and anastomotic leakage after resection of colorectal carcinoma

Copyright © 2019 Elsevier Ltd. All rights reserved..

BACKGROUND: Clinical and experimental evidence suggests that colorectal mucosal microbiota changes during colorectal carcinogenesis and may impair colorectal anastomotic wound healing. Thus, we hypothesized that amounts of colorectal cancer-associated microbes in colorectal tissue might be associated with anastomotic leakage after resection for colorectal carcinoma.

METHODS: We analyzed 256 fresh frozen tissues of colorectal cancer from patients who underwent elective colorectal resection and anastomosis. Amounts of colorectal cancer-associated microbes, including Fusobacterium nucleatum, Escherichia coli possessing the polyketide synthase (pks) gene cluster, Enterococcus faecalis, and Bifidobacterium genus, in colorectal cancer tissues were measured by quantitative polymerase chain reaction assay; we equally dichotomized positive cases (high versus low). Multivariable logistic regression analysis was conducted to assess associations of these microbes with anastomotic leakage, adjusting for patient and tumor characteristics, and surgery-related factors.

RESULTS: Fusobacterium nucleatum, pks-positive Escherichia coli, Enterococcus faecalis, and Bifidobacterium genus were detected in colorectal carcinoma tissue in 140 (54%), 94 (36%), 193 (75%), and 89 (35%) of 256 cases, respectively. Compared with Bifidobacterium genus-negative cases, Bifidobacterium genus-high cases were associated with an increased risk of anastomotic leakage (multivariable odds ratio, 3.96; 95% confidence interval, 1.50 to 10.51; Ptrend = 0.004). The association of Fusobacterium nucleatum, pks-positive Escherichia coli, or Enterococcus faecalis with anastomotic leakage was not statistically significant.

CONCLUSIONS: The amount of Bifidobacterium genus in colorectal tissue is associated with an increased risk of anastomotic leakage after resection for colorectal cancer. These findings need to be validated to target gastrointestinal microflora for the prevention of anastomotic leakage after colorectal resection.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Surgical oncology - 32(2020) vom: 01. März, Seite 63-68

Sprache:

Englisch

Beteiligte Personen:

Mima, Kosuke [VerfasserIn]
Sakamoto, Yuki [VerfasserIn]
Kosumi, Keisuke [VerfasserIn]
Ogata, Yoko [VerfasserIn]
Miyake, Keisuke [VerfasserIn]
Hiyoshi, Yukiharu [VerfasserIn]
Ishimoto, Takatsugu [VerfasserIn]
Iwatsuki, Masaaki [VerfasserIn]
Baba, Yoshifumi [VerfasserIn]
Iwagami, Shiro [VerfasserIn]
Miyamoto, Yuji [VerfasserIn]
Yoshida, Naoya [VerfasserIn]
Ogino, Shuji [VerfasserIn]
Baba, Hideo [VerfasserIn]

Links:

Volltext

Themen:

Bacteria
Complication
Journal Article
Surgery

Anmerkungen:

Date Completed 30.10.2020

Date Revised 03.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.suronc.2019.11.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM303683465