Complications of loop ileostomy and ileostomy closure and their implications for extended enterostomal therapy: A prospective clinical study

Rathnayake, M.M.G.; Kumarage, S.K.; Wijesuriya, S.R.E.; Munasinghe, B.N.L.; Ariyaratne, M.H.J.; Deen, K.I.

doi:10.1016/j.ijnurstu.2007.07.015

Cited by 23 publications

(11 citation statements)

References 4 publications

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“…As reported in various studies, our patients also experience a reduced quality of life due to stoma-associated complications in the form of skin irritation, diarrhoea, prolapse, retraction, parastomal hernia, ileus, and so forth [19,20]. Besides feelings of physical and mental restrictions many cases experienced postoperative chest infections (39.6%) and dehydration (29.3%); due excess fluid loss requiring readmission was also common and similar to observations by other researchers [21][22][23][24]. Nutritional depletion occurs in patients with ileostomy due to both anatomical and functional loss of the gut, ongoing inflammatory activity due to disease with sepsis, preexisting malnutrition, and the added surgical stress.…”

Section: Discussionsupporting

confidence: 82%

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

Mohil

Narayan

Sreenivas

et al. 2012

ISRN Emergency Medicine

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Objective. The present study was carried out with an aim to study the nutritional status of patients undergoing emergency ileostomy using simple bedside tools in a developing country. Methods. Nutritional assessment (anthropometry, biochemical, immunological, and dietary) was done within 24-36 hours of admission and 6 weeks postoperatively. Primary endpoint was the study of the nutritional status of the patients with ileostomy. Results. N = 58, 47 males with mean age 32 years. Postoperatively 50 (86.2%) patients experienced some complications including those related to ileostomy. Malnutrition varied from 7 (12.1%) using BMI to 54 (93.1%) by triceps skinfold thickness. At 6 weeks, despite adequate nutritional intake, there was a significant decrease in almost all nutritional parameters except serum albumin which was normal in most patients. Factors contributing to weight loss in 41 (70.7%) patients were decreased length of proximal bowel left (P = 0.001), increased ileostomy output (P = 0.001), delayed surgery (P = 0.004), and increased disease severity score (P = 0.005). Conclusion. Majority of patients undergoing emergency ileostomy were malnourished and had significant nutritional depletion despite adequate nutritional support. Serial assessment helps to assess nutritional recovery in these patients.

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Section: Discussionsupporting

confidence: 82%

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

Mohil

Narayan

Sreenivas

et al. 2012

ISRN Emergency Medicine

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“…Preoperative marking by a certified enterostomal therapy nurse is suggested to prevent morbidity associated with poorly placed ostomies. 38,39 intraoperatively, the surgeon must consider patient factors associated with worsened outcomes, such as coagulopathy, bowel ischemia, prolonged operative time, blood transfusion, immunosuppression, and risk of unplanned return to the operating room. 22,[40][41][42] Without overt bowel ischemia, conversion of an emergent operation to a future elective procedure involving resection with primary anastomosis may be in the best interest of the patient.…”

Section: Discussionmentioning

confidence: 99%

What Are the Results of Colonic Volvulus Surgery?

Kasten

Marcello

Read

et al. 2015

Diseases of the Colon &Amp; Rectum

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“…However, quality of life (QoL) is affected due to stoma-related complications during this time period. [ 7 8 9 10 11 12 13 14 ]…”

Section: Introductionmentioning

confidence: 99%

Early versus conventional stoma closure following bowel surgery: A randomized controlled trial

Nelson¹,

Pranavi²,

Sureshkumar³

et al. 2018

Saudi J Gastroenterol

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Background/Aim:To compare early stoma closure with conventional stoma closure following defunctioning diversion stoma surgery with respect to the frequency of complications, health-related quality of life (QoL), and length of hospitalization (LoH).Patients and Methods:This study was designed as a prospective parallel-arm randomized controlled trial. Patients who underwent temporary stoma following bowel surgery between February 2014 and November 2015 were included. The rate of complications (medical and surgical) following early and conventional stoma closure was assessed. Health-related QoL and LoH were also measured.Results:One hundred patients were included, with 50 cases in each group. Postoperative complications including laparostoma (6% vs. 2%;P = 0.307), wound infection (32% vs. 18%; P = 0.106), intra-abdominal collection (14% vs. 18%; P = 0.585), anastomotic leak (4%vs. 8%;P = 0.400), and medical complications were comparable (22% vs. 32%;P = 0.257). The length of hospital stay, overall mortality and morbidity (64% vs. 44%; P = 0.05) were similar across the two groups. There was a significant reduction in the cost towards stoma care (96% vs. 2%; P = 0.001) in the early stoma closure group. Patients in the early stoma closure group also had a significantly better QoL.Conclusion:Early stoma closure does not carry an increased risk of postoperative complications, reduces cost towards stoma care, and leads to better a QoL.

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Complications of loop ileostomy and ileostomy closure and their implications for extended enterostomal therapy: A prospective clinical study

Cited by 23 publications

References 4 publications

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

Challenges of Managing Emergency Ileostomy: Nutrition—A Neglected Aspect

What Are the Results of Colonic Volvulus Surgery?

Early versus conventional stoma closure following bowel surgery: A randomized controlled trial

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