Diverting loop ileostomy after restorative proctocolectomy: predictors of poor outcome and poor quality of life

“…Unfortunately, patients who are symptomatic from a PSH often suffer from poor quality of life [39,44]. In one study evaluating the effects of peristomal bulging and subsequent quality of life, patients reported significant impairment in quality of life regarding symptom load, worry, and general sense of well-being.…”

Section: Quality Of Life and Financial Impactmentioning

confidence: 99%

Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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Parastomal hernia is one of the most common complications following stoma creation and its prevalence is only expected to increase. It often leads to a decrease in the quality of life for patients due to discomfort, pain, frequent ostomy appliance leakage, or peristomal skin irritation and can result in significantly increased healthcare costs. Surgical technique for parastomal hernia repair has evolved significantly over the past two decades with the introduction of new types of mesh and laparoscopic procedures. The use of prophylactic mesh in high-risk patients at the time of stoma creation has gained attention in lieu of several promising studies that have emerged in the recent days. This review will attempt to demonstrate the burden that parastomal hernias present to patients, surgeons, and the healthcare system and also provide an overview of the current management and surgical techniques at both preventing and treating parastomal hernias. i 2014 S. Karger AG, Basel

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“…The reasons why a colostomy appears twice as likely to herniate as an ileostomy are not fully known beyond possibly the increased trephine diameter . What is known is that parastomal herniation not only causes further change in body image and cosmesis and increased pain but also a difficulty with stoma appliance application resulting in increased risk of pouch leakage which can result in impaired quality of life . Two large trials about surgical procedures to reduce the risk of parastomal herniation are underway in the United Kingdom .…”

Section: Discussionmentioning

confidence: 99%

Research priorities about stoma‐related quality of life from the perspective of people with a stoma: A pilot survey

Hubbard

Taylor

Beeken

et al. 2017

Health Expectations

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BackgroundThere is a recognized need to include patients in setting research priorities. Research priorities identified by people with a stoma are rarely elicited.ObjectivesTo improve the quality of life of people with a stoma through use of evidence‐based practice based on research priorities set by patients.Design and MethodsOnline pilot survey publicized in 2016 via United Kingdom stoma charities. People ranked nine stoma‐related quality of life topics in order of research priority.ParticipantsPeople 16 years of age and over who currently have or have had a stoma for treatment for any medical condition.AnalysisDistributions of the priority scores for each of the nine research topics were examined. Group differences were explored using either the Mann–Whitney U‐test or the Kruskal–Wallis test depending on the number of groups.ResultsIn total, 225 people completed the survey. The most important research priority was pouch leak problems and stoma bag/appliance problems followed by hernia risk. There were statistically significant differences in ranking research priorities between males and females, age, underlying disease that led to a stoma, stoma type and length of time with a stoma.ConclusionPeople with a stoma are willing to engage in and set research priorities. The results should contribute towards future research about setting the research agenda for the study of stoma‐related concerns that impact quality of life.

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Diverting loop ileostomy after restorative proctocolectomy: predictors of poor outcome and poor quality of life

Abstract: The predictors of negative outcome after construction of a diverting loop ileostomy after RPC were urgent surgery, use of standard rod, the distance of the stoma site from the umbilicus, parastomal herniae and the older age of patients.

Cited by 24 publications

References 24 publications

Systematic Review of the Impact of Surgical Harm on Quality of Life After General and Gastrointestinal Surgery

Systematic Review of the Impact of Surgical Harm on Quality of Life After General and Gastrointestinal Surgery

Parastomal Hernia: A Growing Problem with New Solutions

Research priorities about stoma‐related quality of life from the perspective of people with a stoma: A pilot survey

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