Mortality risk analysis following routine <i>vs</i> selective defunctioning stoma formation after total mesorectal excision for rectal cancer

Pata, Giacomo; D’Hoore, André; Fieuws, Steffen; Penninckx, Freddy

doi:10.1111/j.1463-1318.2008.01693.x

Cited by 24 publications

(21 citation statements)

References 60 publications

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“…Some authors have reported a lower incidence of anastomotic leakage and reduced morbidity in patients with defunctioning stomas and have recommended the routine use of it [20,21]. Other authors have experienced a similar rate of anastomotic dehiscence in patients with or without temporary stomas, with the unique advantage of reduced disastrous clinical consequences in ostomatous patients [6,22].…”

Section: Discussionmentioning

confidence: 94%

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Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

et al. 2014

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Section: Discussionmentioning

confidence: 94%

“…Some authors have recommended routine use of a temporary stoma to reduce the rate of and morbidity from anastomotic leakage [20,21]. In contrast, other authors have discouraged the routine use of temporary stomas, preferring selective use.…”

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confidence: 99%

Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

et al. 2014

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“…Pata et al analysed four clinical randomized studies and found more anastomotic leakages (24% vs. 9.6%) as well as reinterventions (88.6% vs. 11.8%) and a higher mortality in the group without stoma (4.5% vs. 0%) [48]. Therefore, the choice of a selective approach has to be carefully considered and even experienced surgeons sometimes find it difficult to predict which patient will have an anastomotic leak when risk factors are absent [5].…”

Section: Discussionmentioning

confidence: 96%

Ghost ileostomy after anterior resection for rectal cancer: a preliminary experience

Gullà

Trastulli

Boselli

et al. 2011

Langenbecks Arch Surg

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GI is feasible, characterized by shorter recovery, lesser degree of total, as well as anastomosis-related morbidity and higher quality of life of patients and the caregivers in respect to CS. We suggest that GI (should be evaluated as an alternative to conventional ileostomy) could be indicated in selected patients that do not present risk factors, but require caution for anastomotic leakage for the low level of colorectal anastomosis.

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“…Temporary stomas have been shown to be protective [1][2][3][4] , and temporary diversion adds little to the overall morbidity of an operation. 21 However, proximal diversion is not benign.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] As technology and surgical techniques are improving, a greater number of patients are undergoing sphincter sparing surgery, 5 many with temporary diversion. Given the low morbidity and potential advantages of diversion, it has been suggested that most rectal cancer patients should have a diverting stoma.…”

Section: Introductionmentioning

confidence: 99%

Do older Americans undergo stoma reversal following low anterior resection for rectal cancer?

Dodgion¹,

Neville²,

Lipsitz³

et al. 2010

JCO

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Objective-For low-lying rectal cancers, proximal diversion can reduce anastomotic leak after sphincter preserving surgery; however, evidence suggests that such temporary diversions are often not reversed. We aimed to evaluate non-reversal and delayed stoma reversal in elderly patients undergoing low anterior resection (LAR). The authors report no conflict of interest. Design-SEER-MedicareAuthor Contributions: Dodgion -study design, analysis and interpretation of data, manuscript preparation. Neville -acquisition of data, manuscript preparation. Lipsitz -study design, analysis and interpretation of data, manuscript preparation. Schrag -study design, interpretation of data, manuscript preparation. Breen -study design, interpretation of data, manuscript preparation. Greenberg -study design, analysis and interpretation of data, manuscript preparation and project oversight.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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Mortality risk analysis following routine vs selective defunctioning stoma formation after total mesorectal excision for rectal cancer

Abstract: The results of this review support the routine construction of a protective stoma. However, selective use of a DS is justified from a patient safety point of view if the CAL-rate and its related mortality are limited. Each unit should audit its performance.

Cited by 24 publications

References 60 publications

Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

Ghost ileostomy after anterior resection for rectal cancer: a preliminary experience

Do older Americans undergo stoma reversal following low anterior resection for rectal cancer?

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