A better bridge for loop stomas

Cochrane, R.; Hay, D. J.; Jones, Anne

doi:10.1002/bjs.1800830322

Cited by 5 publications

(4 citation statements)

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“…A retracted stoma may reduce the efficacy of faecal diversion and compromise a distal anastomosis [1,17]. There is no consensus as to how the stoma should be supported, and various techniques including the use of a flat Jackson‐Pratt drain [14], a plastic rod [15,18], a red Robinson catheter [19], a suture bridge [20,21], a subcutaneous absorbable bridge [22], or a bridge and gasket appliance [23] have been described. As yet, no evidence clearly favours one over the other.…”

Section: Introductionmentioning

confidence: 99%

Ileostomy rod – is it a bridge too far?

Speirs¹,

Leung²,

Hughes³

et al. 2006

Colorectal Disease

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Section: Introductionmentioning

confidence: 99%

Ileostomy rod – is it a bridge too far?

Speirs¹,

Leung²,

Hughes³

et al. 2006

Colorectal Disease

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“…However, other studies have shown that BMI itself is not a factor affecting the incidence of stoma retraction [18,36]. Considering that a large proportion of patients are overweight or obese [16,29,37,38], this paper also analyzed the effect of BMI on stoma retraction, but our study did not find that 32 patients with stoma retraction had obvious characteristics on BMI, which indicated that there may be no significant relationship between high BMI and the incidence of stoma retraction.…”

Section: Bmi and Stoma Retractionmentioning

confidence: 61%

Whether stoma support rods have application value in loop enterostomy: a systematic review and meta-analysis

Zhou

Wang

et al. 2020

World J Surg Onc

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Purpose The purpose of the systematic review and meta-analysis is to analyze the application value of the stoma support rods in loop enterostomy. Methods The studies on the application of stoma rods in loop enterostomy published from January 2000 to January 2020 were searched in the databases of PubMed, Embase, Cochrane library, and Clinical trials. All randomized controlled trials (RCTs) and cohort studies that observed the value of stoma rods were included according to inclusion criteria. The RevMan5.3 software was used for statistical analysis. Results A total of 1131 patients with loop enterostomy in six studies were included in this study; there were 569 cases in the experimental group and 562 cases in the control group. All six studies analyzed the effect of support rods on the incidence of stoma retraction; the meta-analysis showed that in a total of 32 patients, stoma retraction occurred, with a total incidence of about 2.8% in 1131 patients. The incidence of stoma retraction in the rod group was not significantly lower than that in the non-rod group, and the difference was not statistically significant (OR = 0.65, 95% CI 0.32~1.32, I2 = 0%, P = 0.23), and the studies were homogeneous. The incidences of stoma necrosis (OR = 6.41, 95% CI 2.22~18.55, I2 = 0%, P = 0.0006), peristomal dermatitis (OR = 2.93, 95% CI 2.01~4.27, I2 = 0%, P < 0.00001), and mucocutaneous separation (OR = 2.14, 95% CI 1.03~4.47, I2 = 0%, P = 0.04) were significantly increased in the rod group. Conclusions It is not recommended to routinely use stoma support rods in the clinical practice.

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“…6 One of the techniques that resulted in a lot of debate was a deep tension suture suggested as a cheap and reliable alternative to a proprietary bridge. 7 Alternatively, a loop of nasogastric or rubber tube is passed under the loop of colon, and the shortened ends are joined together above the bowel with a single nylon suture. 8 This technique is however criticized as 'sinking' of the loop could still occur.…”

Section: Discussionmentioning

confidence: 99%