Ileostomy or colostomy for temporary decompression of colorectal anastomosis

Güenaga, Katia Ferreira; Lustosa, Suzana As; Saad, Sarhan Sydney; Saconato, Humberto; Matos, Délcio

doi:10.1002/14651858.cd004647.pub2

Cited by 141 publications

(108 citation statements)

References 35 publications

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“…In some systematic reviews, a loop ileostomy is not encouraged because of prolapse rates [11]. In other reviews, no clear preference is demonstrated [12].…”

Section: Discussionmentioning

confidence: 99%

Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up

Jonkers

Draaisma

Roskott

et al. 2012

Int J Colorectal Dis

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“…In some systematic reviews, a loop ileostomy is not encouraged because of prolapse rates [11]. In other reviews, no clear preference is demonstrated [12].…”

Section: Discussionmentioning

confidence: 99%

Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up

Jonkers

Draaisma

Roskott

et al. 2012

Int J Colorectal Dis

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“…Allerdings besteht das Problem, dass dabei weder die parastomale Hernie noch der Stomaprolaps definiert wurden. Eine CochraneArbeit definiert die parastomale Hernie als eine Hernie neben dem Stoma und einen Stomaprolaps als eine Ausstülpung des Stomas durch die Bauchwand [13]. Unklar Die Follow-up-Untersuchung sollte ab dem 12.…”

Section: E Eine Bei Einer Klinischenunclassified

Parastomal hernia treatment with prosthetic mesh repair

Israelsson

2010

Chirurg

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After stoma formation, parastomal hernia develops in 30-50% of patients, with one-third of these require operative correction. Recurrence rates are very high after suture repair of parastomal hernias or relocation of the stoma. Open or laparoscopic mesh repairs have resulted in much lower recurrence rates. Long-term follow-up of the various techniques for parastomal hernia repair is lacking, as are randomized trials. A prophylactic prosthetic mesh placed in a sublay position at the index operation has reduced the rate of parastomal hernia in randomized trials. A prophylactic mesh in an onlay position, a sublay position, and an intraperitoneal onlay position has also been associated with low herniation rates in non-randomized studies. Although several questions within this field still have to be answered, it seems obvious that use of a mesh represents a suitable measure for the prevention of parastomal hernia as well as parastomal hernia repair.

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“…Peeters and colleagues 7 proposed that absence of a defunctioning stoma was a risk factor for symptomatic anastomotic leakage in patients undergoing total mesorectal excision for rectal cancer. A temporary loop ileostomy is preferred to colostomy by most surgeons because it is easy to construct and close without a risk of injury to the colic vascular arcade, and there are fewer problems with prolapse 8 .…”

Section: Introductionmentioning

confidence: 99%

Randomized clinical trial of early versus delayed temporary stoma closure after proctectomy

Alvès

Panís

Lelong

et al. 2008

British Journal of Surgery

153

162

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Background: Temporary faecal diversion is recommended with a low colorectal, coloanal or ileoanal anastomosis (LA). This randomized study evaluated early (EC; 8 days) versus late (LC; 2 months) closure of the temporary stoma.Methods: Patients undergoing rectal resection with LA were eligible to participate. If there was no radiological sign of anastomotic leakage after 7 days, patients were randomized to EC or LC. The primary endpoints were postoperative morbidity and mortality 90 days after the initial resection.Results: Some 186 patients were analysed. There were no deaths within 90 days and overall morbidity rates were similar in the EC and LC groups (31 versus 38 per cent respectively; P = 0·254). Overall surgical complication (both 15 per cent; P = 1·000) and reoperation (both 8 per cent; P = 1·000) rates were similar, but wound complications were more frequent after EC (19 versus 5 per cent; P = 0·007). Small bowel obstruction (3 versus 16 per cent; P = 0·002) and medical complications (5 versus 15 per cent; P = 0·021) were more common with LC. Median (range) hospital stay was reduced by EC (16 (6-59) versus 18 (9-262) days; P = 0·013). Conclusion:Early stoma closure is feasible in selected patients, with reduced hospital stay, bowel obstruction and medical complications, but a higher wound complication rate. Registration number: NCT00428636 (http://www.clinicaltrials.gov).

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Ileostomy or colostomy for temporary decompression of colorectal anastomosis

Cited by 141 publications

References 35 publications

Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up

Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up

Parastomal hernia treatment with prosthetic mesh repair

Randomized clinical trial of early versus delayed temporary stoma closure after proctectomy

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