Roux-en-Y gastric bypass and parastomal hernia repair: case report of concurrent operation in comorbid patient

Khitaryan, A. G.; Miziev, I. A.; Mezhunts, A. V.; Veliev, Camil; Zavgorodnyaya, Raisa; Orekhov, A. A.; Kislyakov, Vasily; Golovina, Anastasiya

doi:10.1016/j.ijscr.2020.05.024

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Only a single case report with a patient undergoing RYGB with a pre-existing ostomy had an uneventful 12-month postoperative course. 10 Similarly, our data showed a relatively low rate of adverse events mainly related to the procedure as only one patient eventually required surgical revision. Despite both procedures being safe and effective, 4 , 5 careful decision-making to avoid multiple surgeries is more relevant to this population.…”

Section: Discussionsupporting

confidence: 69%

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Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Portela

Vahibe

Badaoui

et al. 2022

Bariatric Surgical Practice and Patient Care

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Background: Bariatric surgery is the most effective treatment for weight loss and obesity-related comorbidity resolution. However, bariatric surgery is not readily offered in specific populations due to the lack of data assessing its feasibility. This study intends to evaluate bariatric surgery in patients with an existing ostomy. Methods: We conducted a retrospective case series to assess the safety of Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) in patients with an end ileostomy or colostomy. Patient demographics, including obesity-related comorbidities, overall health status (American Society of Anesthesiologists score), and short-term complications (up to 30 days postoperatively), were analyzed. Results: Six patients were included. The mean age was 58 years, and the mean preoperative body mass index was 41.6. Three patients had a colostomy, and three had an ileostomy. The mean time of ostomy before surgery was 11 years. Two ostomies were due to trauma, two due to inflammatory bowel disease, one due to cancer, and one due to scleroderma. Mean postoperative follow-up was 23 months. No patient had increased ostomy output or infusion center visit. One patient had an ED visit, one had a short-term complication, and one had SG conversion to RYGB. Conclusions: Bariatric surgery is technically feasible in selected patients with ileostomy/colostomy with a reasonable short-term safety profile.

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Section: Discussionsupporting

confidence: 69%

“…Beyond one case report portraying safety, there exist no data on patients undergoing bariatric surgery in the setting of pre-existing ostomy. 10 In this series, we intend to assess the technical feasibility and safety profile of bariatric surgery in patients with a previous colostomy or ileostomy.…”

Section: Introductionmentioning

confidence: 99%

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Portela

Vahibe

Badaoui

et al. 2022

Bariatric Surgical Practice and Patient Care

View full text Add to dashboard Cite

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Feasibility and outcomes of robotic sphincter-preserving surgery for rectal cancer after neoadjuvant treatment in patients with preexisting colostomy

Nozawa,

Sakamoto,

Murono

et al. 2024

Tech Coloproctol

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Background Diverting colostomy followed by neoadjuvant treatment is a treatment of choice for obstructive rectal cancer. Such patients may be treated via a robotic approach with several advantages over conventional laparoscopic surgery. Conversely, the existing stoma may interfere with the optimal trocar position and thus affect the quality of robotic surgery. Moreover, the console surgeon does not face the patient, which may endanger the stoma. Methods Patients with rectal cancer who underwent sphincter-preserving surgery were retrospectively investigated using a robotic platform after neoadjuvant treatment at our hospital. Based on pretreatment stoma creation, patients were divided into the NS (those without a stoma) and S groups (patients with a stoma). Baseline characteristics, types of neoadjuvant treatment, short-term surgical outcomes, postoperative anorectal manometric data, and survival were compared between the groups. Results The NS and S groups comprised 65 and 9 patients, respectively. Conversion to laparotomy was required in three patients in the NS group. The S group required a longer console time than the NS group (median: 367 vs. 253 min, respectively, p = 0.038); however, no difference was observed in the total operative time (p = 0.15) and blood loss (p = 0.70). Postoperative complication rates, anorectal function, and oncological outcomes were similar between the groups. Conclusions Although console time was longer in patients with a stoma, robotic surgery could be performed safely like in those without a stoma after neoadjuvant treatment.

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Roux-en-Y gastric bypass and parastomal hernia repair: case report of concurrent operation in comorbid patient

Cited by 2 publications

References 13 publications

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Feasibility and outcomes of robotic sphincter-preserving surgery for rectal cancer after neoadjuvant treatment in patients with preexisting colostomy

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