A Prospective Audit of the Complications of Loop Ileostomy Construction and Takedown

García-Botello, Stephanie; García-Armengol, Juan; García‐Granero, Eduardo; Espí, Alejandro; Juan, Chung-Chou; López-Mozos, Fernando; Lledó, Salvador

doi:10.1159/000083471

Cited by 117 publications

(109 citation statements)

References 51 publications

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“…Reported incidence of dehydration ranges from 2.2-20% [19]. These patients have to be on a stringent diet and anti-diarrheal medication often [20]. Some recommend such measures only if urinary sodium concentration is low (0-10 meq/L), and delay discharge till effluent is less than 1 L/day.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study between Santulli Ileostomy and Loop Ileostomy

Kumar¹,

Sathyanarayana²

2016

IOSR

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Section: Discussionmentioning

confidence: 99%

A Comparative Study between Santulli Ileostomy and Loop Ileostomy

Kumar¹,

Sathyanarayana²

2016

IOSR

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“…A prospective review of the complications of ileostomy closure reported an SSI rate of 18.3% (9). The high incidence rate of SSI was considered to be associated with the primary closure of these wounds.…”

Section: Discussionmentioning

confidence: 99%

Comparison of surgical techniques for stoma closure: A retrospective study of purse-string skin closure versus conventional skin closure following ileostomy and colostomy reversal

Wada

Miyoshi

Ohue

et al. 2015

Molecular and Clinical Oncology

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Abstract. The aim of this study was to compare the incidence of postoperative complications, including superficial incisional surgical site infection (SSI) following purse-string skin closure (PS) and conventional skin closure with a drainage tube (CD) following stoma closure. A total of 55 consecutive patients who underwent loop colostomy and loop ileostomy closures in our hospital between October, 2011 and September, 2014 were retrospectively assessed. The patients were divided into two groups, namely the PS group (26 patients) and the CD group (29 patients). There were no significant differences in the characteristics of the patients between the two groups. The baseline and operative characteristics also did not differ significantly between the two groups. However, the incidence of superficial incisional SSI was lower in the PS group compared to that in the CD group (0 vs. 13.8%, respectively; P=0.049). The overall incidence of complications did not differ significantly between the two groups (P=0.313). The duration of postoperative hospital stay in the PS group was shorter compared to that in the CD group. In conclusion, the results of this study suggest that PS may an effective technique to reduce the incidence of superficial incisional SSI. This technique appears to be superior to the conventional technique, allowing for better cosmesis.

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“…However, diverting loop‐ileostomy potentially increases the risks for stoma‐related complications including small bowel obstruction (SBO), stoma prolapse, stoma retraction, parastomal hernia, parastomal dermatitis, and mucocutaneous dehiscence. Risks for stoma‐related complications are reportedly 5‐46% 6, 7, 8, 9…”

Section: Introductionmentioning

confidence: 99%

Risk factors of small bowel obstruction following total proctocolectomy and ileal pouch anal anastomosis with diverting loop‐ileostomy for ulcerative colitis

Mizushima

Kameyama

Watanabe

et al. 2017

Annals of Gastroent Surgery

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Small bowel obstruction (SBO) often occurs after total proctocolectomy and ileal pouch anal anastomosis with diverting loop‐ileostomy for ulcerative colitis. Little is known about the association between SBO and surgical procedures for diverting loop‐ileostomy. We conducted a multicenter, retrospective questionnaire survey. Unlinkable anonymized data on ileostomy procedures and ileostomy‐related complications including SBO were collected from institutions specializing in surgery for inflammatory bowel disease. In total, 515 patients undergoing total proctocolectomy and ileal pouch anal anastomosis with loop‐ileostomy among 1022 patients with ulcerative colitis undergoing surgery during a 3‐year period between 2012 and 2014 were analyzed. Twenty‐nine patients without information on complications were excluded. Incidence of ileostomy‐related complications and factors associated with the development of small bowel obstruction were determined in 486 patients. The most common complications were parastomal dermatitis (n=169, 34.8%), SBO (n=111, 22.8%), mucocutaneous dehiscence (n=59, 12.1%), stoma prolapse (n=21, 4.3%), parastomal hernia (n=12, 2.5%), and stoma retraction (n=11, 2.3%). Incidence of small bowel obstruction was significantly higher in patients with distance from the ileal pouch to the ileostomy of less than 30 cm and in patients undergoing laparoscopic surgery. Procedures for diverting loop‐ileostomy after surgery for ulcerative colitis varied among institutions. Incidence of small bowel obstruction was high after total proctocolectomy and ileal pouch anal anastomosis with diverting loop‐ileostomy. Shorter distance between the pouch and the stoma and the laparoscopic surgery were risk factors for SBO in univariate analysis.

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A Prospective Audit of the Complications of Loop Ileostomy Construction and Takedown

Cited by 117 publications

References 51 publications

A Comparative Study between Santulli Ileostomy and Loop Ileostomy

A Comparative Study between Santulli Ileostomy and Loop Ileostomy

Comparison of surgical techniques for stoma closure: A retrospective study of purse-string skin closure versus conventional skin closure following ileostomy and colostomy reversal

Risk factors of small bowel obstruction following total proctocolectomy and ileal pouch anal anastomosis with diverting loop‐ileostomy for ulcerative colitis

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