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Tranexamic acid to prevent anastomotic leak after rectal cancer surgery: protocol for a feasibility trial with embedded mechanistic analysis of the microbiome.

Jack A Helliwell, Caroline H Chilton, Janine Bestall, Andrew Kirby, Philip Quirke, Henry M Wood, Deborah D Stocken, David Jayne

BMJ openSep 11, 2026PMID 42731830doi:10.1136/bmjopen-2025-114040 PMC13583865Journal ArticleClinical Trial ProtocolpubmedProvenance
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PubMed
Retrieved
Sep 19, 2026
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normalized (units and labels harmonized; values unchanged)
Run
ING-PUBMED-20260919-000001
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INTRODUCTION: Anastomotic leak is a major complication after anterior resection for rectal cancer, with reported rates of 10-15%. Recent evidence implicates the gut microbiome, where specific bacteria colonise the anastomotic site and secrete collagenase that weakens healing tissue. Preclinical…

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