Complications of Loop Ileostomy Closure: A Retrospective Cohort Analysis of 123 Patients

Abstract

Reversal of loop ileostomy may be associated with significant morbidity and mortality. Increasing the delay from creation to closure may result in fewer complications.There is an increased risk in older patients with more comorbidity, particularly when the primary procedure is for diverticular disease with significant peritoneal contamination.

Morbidity related to defunctioning loop ileostomy in low anterior resection

“…Reversal of a loop ileostomy requires another hospital stay and is also associated with high morbidity, 40 % total morbidity in our study, which is similar to other reports [12,[22][23][24]. The most frequent complication was obstruction (25 %).…”

Systematic Review and Meta‐analysis of the Incidence of Incisional Hernia at the Site of Stoma Closure

“…There is a risk of a wide range of morbidity associated with both stoma formation and stoma reversal [1,3,5]. Morbidity following formation includes ileus, obstruction, retraction, prolapse, skin problems, and parastomal hernia [4,[6][7][8][9].…”

Ghost ileostomy after anterior resection for rectal cancer: a preliminary experience

“…Nevertheless, the advantages of covering stoma have to be contrasted with the eventual complications related to the management of the stoma, as well as with the necessity of a reintervention of intestinal recanalization (including anastomotic complications at the stoma closure site) which is burdened by morbidity and mortality rate particularly in elderly patients and in cases of delayed stoma closure, and that anyway, independently from this, already implies an increase of costs, recoveries and/or hospital stay [6,7]. Quality of life is affected by physical and psychological lifestyle changes, especially in body image and self-concept [8].…”