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01-12-2023 | Enterostomy | Research

A comparative study of stoma-related complications from diverting loop ileostomy or colostomy after colorectal surgery

Authors: Koichiro Kumano, Daichi Kitaguchi, Yohei Owada, Eiki Kinoshita, Shoko Moue, Kinji Furuya, Yusuke Ohara, Tsuyoshi Enomoto, Tatsuya Oda

Published in: Langenbeck's Archives of Surgery | Issue 1/2023

Abstract

Purpose

Even though minor, stoma-related complications significantly impact quality of life, they are often excluded from clinical analyses that compare short-term postoperative outcomes of loop ileostomy and loop colostomy. This study compares stoma-related complications between loop ileostomy and loop colostomy after rectal resection, including minor complications, and discusses the characteristics of diverting stoma types.

Methods

A retrospective review was conducted in patients who underwent diverting stoma construction after rectal resection. Data on patient background and postoperative short-term outcomes, including stoma-related complications and morbidity after stoma closure, were collected and compared between loop ileostomy and loop colostomy groups. Morbidities of all severity grades were targeted for analysis.

Results

A total of 47 patients (27 loop ileostomy, 20 loop colostomy) underwent diverting stoma construction following rectal resection. Overall stoma-related complications, incidence of skin irritation, high-output stoma, and outlet obstruction were significantly higher in the loop ileostomy group but high-output stoma and outlet obstruction were absent in the loop colostomy group. Regarding morbidity after stoma closure, operation times and surgical site infections were significantly higher in the loop colostomy group while anastomotic leakage after diverting stoma closure occurred (2 cases; 15%) in the loop colostomy group but not the loop ileostomy group.

Conclusion

Because stoma-related complications were significantly higher in the loop ileostomy group, and even these minor complications may impair QOL, early loop ileostomy closure is recommended. For loop colostomy, stoma-related morbidities are lower but post-closure leakage is a calculated risk.

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Title: A comparative study of stoma-related complications from diverting loop ileostomy or colostomy after colorectal surgery
Authors: Koichiro Kumano
Daichi Kitaguchi
Yohei Owada
Eiki Kinoshita
Shoko Moue
Kinji Furuya
Yusuke Ohara
Tsuyoshi Enomoto
Tatsuya Oda
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Enterostomy
Rectal Extirpation
Ileostomy
Enterostomy
Colostomy
Rectal Extirpation
Parastomale Hernie
Published in: Langenbeck's Archives of Surgery / Issue 1/2023
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-023-02877-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A comparative study of stoma-related complications from diverting loop ileostomy or colostomy after colorectal surgery

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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