Closure of Colostomy

Beck, Phillip H.; Conklin, Harvey B.

doi:10.1097/00000658-197506000-00005

Cited by 38 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Timing of closure is probably also important, and although not specifically examined in this study, we agree with the observations of other authors that closure after 3 months is preferable to earlier closure. 11,13,19 Although TC was equivalent to LI when measuring parameters of safety, LI showed significant advantages in stoma management. Since both stomas are equally feasible as methods of fecal diversion, the selection process should be left to the surgeon and patient.…”

Section: Commentmentioning

confidence: 99%

Temporary Transverse Colostomy vs Loop Ileostomy in Diversion

et al. 2001

View full text Add to dashboard Cite

Hypothesis: For temporary fecal diversion, transverse colostomy (TC) has superior safety, but loop ileostomy (LI) has superior management qualities. Methods: Of patients with TC or LI seen between 1988 and 1997, 63 patients were matched for diagnosis, operative procedure, and date of surgery. The 2 groups were then compared for hospital/postoperative mortality and morbidity and stoma complications. Results: Mortality rates were 6.3% for the TC group and 1.6% for the LI group (P=.25). Morbidity rates for stoma creation and for stoma closure were 47.6% and 10% (P=.19), respectively, for the TC group, and 36.5% and 6.3% (PϾ.99), respectively, for the LI group. Most morbidity events were minor, and neither procedurerelated nor other medical complications showed a significant difference between the groups. However, patients with a TC were significantly more likely to experience skin trouble around the stoma (TC vs LI, 15.9% vs 3.2%) and leakage around the stoma (TC vs LI, 12.7% vs 1.6%). Conclusions: Regarding safety, TC and LI should be considered equivalent options for temporary fecal diversion. We recommend further study comparing the 2 procedures with regard to patient perception and quality of life.

show abstract

Section: Commentmentioning

confidence: 99%

Temporary Transverse Colostomy vs Loop Ileostomy in Diversion

et al. 2001

View full text Add to dashboard Cite

show abstract

“…Die Mehrzahl der Autoren verschliel3t demgegenfiber die Colostomie zweireihig [1,4,6,10,14,20,[23][24][25]. In allen Fiillen wurde bei unseren Patienten die Colostomie mit einreihigen zweischichtigen Seiden-Knopfn~ihten verschlossen, weil wir glaubten, hierdurch am einfachsten der Gefahr einer Stenosierung im Bereich der Colostomie begegnen zu k6nnen.…”

Section: Patienten Und Methodeunclassified

Die Morbidit�t und Letalit�t des intraperitonealen Verschlusses der doppell�ufigen Transversumfistel

Wedell

Eissen

Störmer

et al. 1982

Langenbecks Arch Chiv

View full text Add to dashboard Cite

The postoperative course of 104 patients, who underwent closure of a transverse loop colostomy at the Surgical Department of the Teaching Hospital Herford between 1974 and 1980 after distal resection and anastomosis of the large bowel for neoplastic or diverticular disease has been reviewed in detail. The mortality was 0.9% and the morbidity rate was 25%, including 25% wound infections and 4.8% fecal fistulas. The highest complication rate was noted, when colostomies were closed during the first 6 weeks. Wound infections and fecal fistulae did not occur more frequently than in patients with diverticulitis. The intraperitoneal procedure of transverse loop colostomy closure can be recommended as to be straightforward and safe.

show abstract

“…Stoma takedown is often considered a "simple" procedure without intention; however, as clearly demonstrated in the literature, it is associated with significant morbidity, as high as 5 to 39% [ 4 , 5 ]. Several factors, such as the patient' underlying disease, the type of ostomy, and the operation time, were reported to be related to postoperative complications [ 6 - 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Nutritional Assessment on the Outcome of Ostomy Takedown

Kim

et al. 2012

J Korean Soc Coloproctol

View full text Add to dashboard Cite

PurposeOstomy takedown is often considered a simple procedure without intention; however, it is associated with significant morbidity. This study is designed to evaluate factors predicting postoperative complications in the ostomy takedown in view of metabolism and nutrition.MethodsA retrospective, institutional review-board-approved study was performed to identify all patients undergoing takedown of an ostomy from 2004 to 2010.ResultsOf all patients (150), 48 patients (32%; male, 31; female, 17) had complications. Takedown of an end-type ostomy showed a high complication rate; complications occurred in 55.9% of end-type ostomies and 15.7% of loop ostomies (P < 0.001). Severe adhesion was also related to a high rate of overall complication (41.3%) (P = 0.024). In preoperative work-up, ostomy type was not significantly associated with malnutrition status. However, postoperatively severe malnutrition level (albumin <2.8 mg/dL) was statistically significant in increasing the risk of complications (72.7%, P = 0.015). In particular, a significant postoperative decrease in albumin (>1.3 mg/dL) was associated with postoperative complications, particularly surgical site infection (SSI). Marked weight loss such as body mass index downgrading may be associated with the development of complications.ConclusionA temporary ostomy may not essentially result in severe malnutrition. However, a postoperative significant decrease in the albumin concentration is an independent risk factor for the development of SSI and complications.

show abstract

Closure of Colostomy

Cited by 38 publications

References 8 publications

Temporary Transverse Colostomy vs Loop Ileostomy in Diversion

Temporary Transverse Colostomy vs Loop Ileostomy in Diversion

Die Morbidit�t und Letalit�t des intraperitonealen Verschlusses der doppell�ufigen Transversumfistel

The Influence of Nutritional Assessment on the Outcome of Ostomy Takedown

Contact Info

Product

Resources

About