Stomaassoziierte Komplikationen – Vermeidungsstrategie und Therapiekonzepte

Kalev, Georgi; Marquardt, Christoph; Schiedeck, Thomas

doi:10.1007/s00104-021-01438-1

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Therefore, intervention measures aimed at preventing stoma‐related complications are of paramount importance. Research has shown that comprehensive preoperative preparations, precise evidence‐based surgical techniques, as well as diligent postoperative patient care and follow‐up are critical in preventing complications following stoma surgery 10 …”

Section: Introductionmentioning

confidence: 99%

The effect of telemedicine on stoma‐related complications in adults with enterostomy: A systematic review and meta‐analysis

Wei‐ying,

Hui‐ren,

Hai‐ping

et al. 2024

International Wound Journal

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To assess the effect of telemedicine on stoma‐related complications in adults with enterostomy, we conducted a meta‐analysis to evaluate the effects of the telemedicine group compared to the usual group. Literature searches were performed in PubMed, Embase, Web of Science, The Cochrane Library, China Biology Medicine (CBM), China National Knowledge Infrastructure (CNKI), WanFang and VIP databases from their inception up to October 2023. Two authors independently screened and extracted data from the included and excluded literature according to predetermined criteria. Data collected were subjected to meta‐analysis using Review Manager 5.3 software. The final analysis included a total of 22 articles, encompassing 2237 patients (telemedicine group: 1125 patients, usual group: 1112 patients). The meta‐analysis results demonstrated that, compared to the usual group, the telemedicine group significantly reduced the overall occurrence of stoma‐related complications, with an odds ratio (OR) of 0.22 (95% CI = 0.15–0.32, p < 0.00001). Furthermore, it resulted in a decrease in stoma complications (OR = 0.27, 95% CI = 0.15–0.47, p < 0.00001) and peristomal complications (OR = 0.25, 95% CI = 0.19–0.34, p < 0.00001). Therefore, the existing evidence suggests that the application of telemedicine can reduce the incidence of stoma and peristomal complications, making it a valuable clinical recommendation.

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Section: Introductionmentioning

confidence: 99%

The effect of telemedicine on stoma‐related complications in adults with enterostomy: A systematic review and meta‐analysis

Wei‐ying,

Hui‐ren,

Hai‐ping

et al. 2024

International Wound Journal

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Stomakomplikationen beeinträchtigen die Lebensqualität

2022

ProCare

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COMPASS: deCOMPressing stomA and two-Stage elective resection vs. emergency reSection in patients with left-sided obstructive colon cancer

Pecqueux,

Distler,

Radulova-Mauersberger

et al. 2023

Trials

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Background Colorectal cancer stands as a prevalent cause of cancer-related mortality, necessitating effective treatment strategies. Acute colonic obstruction occurs in approximately 20% of patients and represents a surgical emergency with substantial morbidity and mortality. The optimal approach for managing left-sided colon cancer with acute colonic obstruction remains debatable, with no consensus on whether emergency resection or bridge-to-surgery, involving initial decompressing stoma and subsequent elective resection after recovery, should be employed. Current studies show a decrease in morbidity and short-term mortality for the bridge-to-surgery approach, yet it remains unclear if the long-term oncological outcome is equivalent to emergency resection. Methods This prospective, randomized, multicenter trial aims to investigate the management of obstructive left-sided colon cancer in a comprehensive manner. The study will be conducted across 26 university hospitals and 40 academic hospitals in Germany. A total of 468 patients will be enrolled, providing a cohort of 420 evaluable patients, with an equal distribution of 210 patients in each treatment arm. Patients with left-sided colon cancer, defined as cancer between the left splenic flexure and > 12 cm ab ano and obstruction confirmed by X-ray or CT scan, are eligible. Randomization will be performed in a 1:1 ratio, assigning patients either to the oncological emergency resection group or the bridge-to-surgery group, wherein patients will undergo diverting stoma and subsequent elective oncological resection after recovery. The primary endpoint of this trial will be 120-day mortality, allowing for consideration of the time interval between diverting stoma and resection. Discussion The findings derived from this trial possess the potential to reshape the current clinical approach of emergency resection for obstructive left-sided colon cancer by favoring the bridge-to-surgery practice, provided that a reduction in morbidity can be achieved without compromising the oncological long-term outcome. Trial registration German Clinical Trials Register (DRKS) under the identifier DRKS00031827. Registered on May 15, 2023. Protocol: 28.04.2023, protocol version 2.0F.

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Stomaassoziierte Komplikationen – Vermeidungsstrategie und Therapiekonzepte

Cited by 3 publications

References 27 publications

The effect of telemedicine on stoma‐related complications in adults with enterostomy: A systematic review and meta‐analysis

The effect of telemedicine on stoma‐related complications in adults with enterostomy: A systematic review and meta‐analysis

Stomakomplikationen beeinträchtigen die Lebensqualität

COMPASS: deCOMPressing stomA and two-Stage elective resection vs. emergency reSection in patients with left-sided obstructive colon cancer

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