Living with a permanent intestinal stoma: changes told by patients with a stoma

Furlani, Renata; Ceolim, María Filomena

doi:10.5935/0034-7167.20020078

Cited by 4 publications

(2 citation statements)

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“…Cuando se ha procedido al cierre de la ileostomía de forma precoz el paciente es valorado de forma individual y diaria. Uno de los aspectos fundamentales es la restauración del tránsito gastrointestinal y el aporte nutricional del paciente, comprobándose en nuestro estudio que es más temprana cuando el cierre es precoz (16,18,19), asociando a esto el tiempo de hospitalización y el coste sanitario del mismo. La reanudación precoz a las actividades de la vida diaria del paciente y la ausencia de estoma, permiten una mejora notable en su calidad de vida (13,18,20).…”

Section: Discussionunclassified

Study surgical treatment of early closing of ileostomy in rectal cancer: impact on the quality of life, morbidity and mortality and health spending

Aragón¹,

Lao²,

Lecumberri³

et al. 2016

Actual. Med.

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Estudio del tratamiento quirúrgico mediante cierre precoz de ileostomia en cáncer de recto: impacto en la calidad de vida, descenso de morbimortalidad y gasto sanitario Resumen Introducción: Los pacientes sometidos a cirugía de recto con anastomosis bajas y que portan ileostomías de protección, ven prolongado el intervalo entre la realización del estoma y la cirugía de reconstrucción a veces durante meses, mientras dure el tratamiento adyuvante. El objetivo de este estudio es valorar el impacto de la calidad de vida, modificaciones en la morbimortalidad y el gasto sanitario ante el cierre de la ileostomía previo al tratamiento adyuvante. Material y métodos: Revisión retrospectiva. Se analizaron los pacientes sometidos a cierre de ileostomía entre enero 2012 y diciembre de 2013. El número de pacientes estudiado ha sido de 55: 41 varones (74,54%) y 14 mujeres (25,45%). En 27 pacientes se realizó cierre de ileostomía al año de su creación y en 28 al mes. En ambos grupos se analizó la morbimortalidad, coste sanitario y calidad de vida, este último parámetro mediante la aplicación del cuestionario GIQLI de calidad de vida. Resultados: El número de pacientes estudiado es 55. La edad media 63,83 años. Los pacientes con cierre precoz de ileostomía presentaron una estancia media hospitalaria menor, 11,87 días respecto a los pacientes con cierre anual, 14,96 días, descendiendo así el coste sanitario. El 18,33 % de los pacientes con cierre precoz de ileostomía presentó íleo postoperatorio frente a un 65,3% del cierre tardío. La calidad de vida (bienestar total) valorada en pacientes con cierre precoz ha sido de un 61, 2% frente a un 33,44 % en pacientes con cierre tardío. Conclusiones: La realización de ileostomías de protección en las anastomosis rectales bajas ha demostrado ser una medida preventiva eficaz para disminuir la morbimortalidad de las dehiscencias de las mismas. El cierre precoz de la ileostomía reduce el íleo postoperatorio, la estancia media hospitalaria, mejora la calidad de vida y el coste sanitario.

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Section: Discussionunclassified

Study surgical treatment of early closing of ileostomy in rectal cancer: impact on the quality of life, morbidity and mortality and health spending

Aragón¹,

Lao²,

Lecumberri³

et al. 2016

Actual. Med.

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“…The impact of such construction on patients' quality of life was the subject of investigation in a number of published reports [5][6][7][8][9][10][11][12][13][14][15][16][17][18]. In a recent published article, for instance, Brennan et al [5] examined the effect of ileoanal pouch anastomosis on ulcerative colitis patients' quality of life and compared the results in them with those of individually matched patients on whom end ileostomy was created by the use of validated questionnaires (short-form 36 version II questionnaire, inflammatory bowel diseases questionnaire) and a few additional questions.…”

Section: Gender Of the Participants Numbermentioning

confidence: 99%

Living with Stoma: Long-term Effects on Patients’ Quality of Life

El-Tawil¹,

Nightingale²

2013

J Clin Cell Immunol

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Introduction:Constructing end stoma is a recognized surgical option for management of anatomical anomalies and bowel dysfunctions. Yet, the long-term outcome for that creation is not known. For finding answer for the question on "the long term outcome for living with permanent stoma after five years of creation" we conducted this survey. Objective:Patients have right to know about the possible adverse that may result after surgical operations before giving consent to proceed. However, the long-term outcome after the first five years after construction of end stoma has not been examined. This study is aimed at identifying these possible adverse. Methods and patients:Members of the United Ostomy Association of America have been requested to complete online survey.Results: Seventy-eight respondents took part in this survey. The diagnosis was ulcerative colitis in 33, Crohn's disease in 11, colonic perforations in 10, bowel tumors in 5, post-radiation severe bowel damage in 3, severe constipation in 4, and no diagnosis was given by further 4 participants. Two participants gave history of congenital malformations (Ehlers Danlos Syndrome and Imperforate anus respectively) Conditions, such as: intestinal obstruction, infected J pouch, diverticulitis, Familial Adenomatous Polyposis (FAP), Ovarian carcinoma and indeterminate colitis were diagnosed in one participant each. Out of the 33 ulcerative colitis patients, 25 identified their pre-operative abdominal pain as it was severe (75.8%) and this pain completely disappeared after surgical resection in 18 (72%). At analyzing the responses to question (3): (How do you feel in general?), it was found that those in the group with a longer elapsed time after diagnosis were more likely to feel better (p=0.042). But those in the older age group (>50years) were more likely to feel worse (p0.024); Patients in the older age group (>50 years) tended to experience more pain after creation (p=0.046); Patients with a longer elapsed time after diagnosis (>5 years) were more likely to say no at answering question (7): (Has your treatment changed the way you see yourself as a man/woman?) (p=0.039) and to say no at answering question (8) (Has your treatment caused any change in your sexual functioning (sex life)?) (p=0.007 ) as well; this group of patients were more likely to enjoy the things they used to before conducting the disease (p=0.025); there were no significant statistical differences were found between those who presented with an established stoma of less than five years old and those with stomas of more than five years old. Conclusion:Participants in the group with a longer elapsed time after diagnosis were more likely to feel better (p=0.042), to have better self-perception (p=0.039), to be more satisfied about their sexual performance (p=0.007), and to enjoy the things they used to before conducting the disease (p=0.025). However, the effect of self-perception on sexual act is significantly high in the two groups.

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Quality of Life with a Permanent Colostomy

Holzer¹,

Rosén²

Urinary and Fecal Incontinence

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Living with a permanent intestinal stoma: changes told by patients with a stoma

Cited by 4 publications

References 0 publications

Study surgical treatment of early closing of ileostomy in rectal cancer: impact on the quality of life, morbidity and mortality and health spending

Study surgical treatment of early closing of ileostomy in rectal cancer: impact on the quality of life, morbidity and mortality and health spending

Living with Stoma: Long-term Effects on Patients’ Quality of Life

Quality of Life with a Permanent Colostomy

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