Perfil epidemiológico e morbimortalidade dos pacientes submetidos à reconstrução de trânsito intestinal: experiência de um centro secundário do Nordeste Brasileiro

Abstract

DESCRITORESABSTRACT -Background -The reconstruction of the intestinal tract is not surgical complications risk-free and is associated to postoperative complications high rates; furthermore, infection remains the hardest challenge in this procedure. Aim -Epidemiological profile and mortality and morbidity in patients undergoing reconstruction of intestinal transit. Methods -Retrospectively, 86 patients with intestinal stomas were analyzed through factors that impact on the morbimortality afterwards intestinal transit reconstruction, since January 2003 to April 2009. Results -Loop colostomy (n=34) and abdominal trauma implicating 38.2% of indications to colostomy or ileostomy, were the most frequent conditions. The mean interval between stoma confection and intestinal transit reconstruction was 15.7 months. The morbidity frequency was 56.8% and incisional infection was its commonest complication (27.47%). The mean inpatient length of stay was 7.6 days. There was positive linear regression between post-operative inpatient length of stay and inpatient's age. Inpatient length of stay prolongation is associated to occurrence of complications (p<0,001). Conclusion -It can be inferred that the occurrence of postoperative complications and age were associated with prolonged hospital stay.

Obesity and Physical Activity in Ostomized Patients

“…In the present study, the age, marital status and occupation of the sample were similar to those of the samples of studies with male predominance. [13][14][15] The results of the present study also showed a high rate of patients with low level of schooling (only elementary education), and this may influence daily habits and quality of life with an ostomy. 14,18 An outstanding finding of the present study is that 41.7% of the surveyed patients were overweight or obese and were sedentary, and 47.7% of non-sedentary patients were overweight or obese.…”

“…10,11 The results of the present study showed a small predominance of males, which is similar to the results of national and international studies. [13][14][15] This may reflect the underlying disease that required the ostomy, as the majority is definitive colostomy, e.g., malignancy or inflamatory bowel disease. Conversely, some studies 16,17 conducted in Brazil have reported a higher prevalence of females.…”

Morbidade e mortalidade no fechamento de estomas: revisão de 10 anos

“…Outro estudo 16 de 2017 mostrou que fechamentos ainda mais precoces (8-13 dias) nas ileostomias protetoras são seguras, desde que não haja evidências clínicas ou radiológicas de vazamento anastomótico a jusante. Em um estudo brasileiro de método similar ao nosso, a média de porte do estoma também foi de 15 meses 17 .…”