Risk factors and management of stoma-related obstruction after laparoscopic colorectal surgery with diverting ileostomy
Copyright © 2021. Published by Elsevier Taiwan LLC..
BACKGROUND: Stoma-related obstruction (SRO) is defined as small bowel obstruction occurring around the limbs of diverting ileostomy (DI). This study was aimed to investigate the incidence, risk factors, and management of SRO after laparoscopic colorectal surgery with DI creation.
METHODS: This study included 155 patients who underwent laparoscopic colorectal surgery with DI creation for rectal cancer (n = 138), ulcerative colitis (UC) (n = 14), and familial adenomatous polyposis (FAP) (n = 3) between 2011 and 2019. Univariate and multivariate analyses were performed to identify the risk factors of SRO.
RESULTS: The incidence of SRO was 7.7% (n = 12), and it was significantly lower (P < 0.01) in patients with lower anterior resection or intersphincteric resection (4.3%) than in those with ileal-pouch anal anastomosis (IPAA) (35.2%). The multivariate analysis revealed that IPAA was independently associated with the development of SRO (P = 0.001; odds ratio, 9.4; 95% confidence interval, 2.5-35.4). Eleven of 12 patients (92%) with SRO required trans-stomal tube decompression, and 8 of those (67%) underwent early stoma closure.
CONCLUSION: IPAA was an independent risk factor of SRO in laparoscopic colorectal surgery with DI creation. Early stoma closure was needed in most cases of SRO.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:44 |
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| Enthalten in: |
Asian journal of surgery - 44(2021), 8 vom: 01. Aug., Seite 1037-1042 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Maemoto, Ryo [VerfasserIn] |
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| Links: |
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| Themen: |
Ileal pouch-anal anastomosis |
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| Anmerkungen: |
Date Completed 31.08.2021 Date Revised 31.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.asjsur.2021.01.002 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM321099370 |
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| 500 | |a Date Revised 31.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021. Published by Elsevier Taiwan LLC. | ||
| 520 | |a BACKGROUND: Stoma-related obstruction (SRO) is defined as small bowel obstruction occurring around the limbs of diverting ileostomy (DI). This study was aimed to investigate the incidence, risk factors, and management of SRO after laparoscopic colorectal surgery with DI creation | ||
| 520 | |a METHODS: This study included 155 patients who underwent laparoscopic colorectal surgery with DI creation for rectal cancer (n = 138), ulcerative colitis (UC) (n = 14), and familial adenomatous polyposis (FAP) (n = 3) between 2011 and 2019. Univariate and multivariate analyses were performed to identify the risk factors of SRO | ||
| 520 | |a RESULTS: The incidence of SRO was 7.7% (n = 12), and it was significantly lower (P < 0.01) in patients with lower anterior resection or intersphincteric resection (4.3%) than in those with ileal-pouch anal anastomosis (IPAA) (35.2%). The multivariate analysis revealed that IPAA was independently associated with the development of SRO (P = 0.001; odds ratio, 9.4; 95% confidence interval, 2.5-35.4). Eleven of 12 patients (92%) with SRO required trans-stomal tube decompression, and 8 of those (67%) underwent early stoma closure | ||
| 520 | |a CONCLUSION: IPAA was an independent risk factor of SRO in laparoscopic colorectal surgery with DI creation. Early stoma closure was needed in most cases of SRO | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Ileal pouch-anal anastomosis | |
| 650 | 4 | |a Ileostomy | |
| 650 | 4 | |a Laparoscopic surgery | |
| 650 | 4 | |a Small bowel obstruction | |
| 650 | 4 | |a Stoma-related obstruction | |
| 700 | 1 | |a Tsujinaka, Shingo |e verfasserin |4 aut | |
| 700 | 1 | |a Miyakura, Yasuyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Fukuda, Rintaro |e verfasserin |4 aut | |
| 700 | 1 | |a Kakizawa, Nao |e verfasserin |4 aut | |
| 700 | 1 | |a Takenami, Tsutomu |e verfasserin |4 aut | |
| 700 | 1 | |a Machida, Erika |e verfasserin |4 aut | |
| 700 | 1 | |a Kikuchi, Nozomi |e verfasserin |4 aut | |
| 700 | 1 | |a Kanemitsu, Rina |e verfasserin |4 aut | |
| 700 | 1 | |a Tamaki, Sawako |e verfasserin |4 aut | |
| 700 | 1 | |a Ishikawa, Hideki |e verfasserin |4 aut | |
| 700 | 1 | |a Rikiyama, Toshiki |e verfasserin |4 aut | |
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