Long-term Quality of Life of Patients With Permanent End Ileostomy: Results of a Nationwide Cross-Sectional Survey

Schiergens, Tobias S.; Hoffmann, Verena S.; Schobel, Tamara N.; Englert, Gerhard; Kreis, Martin E.; Thasler, Wolfgang E.; Werner, Jens; Kasparek, Michael S.

doi:10.1097/dcr.0000000000000732

Cited by 62 publications

(65 citation statements)

References 30 publications

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“…Our study reported a rate of stoma formation of 11.5% when surgery is performed electively, compared to 22% in the emergency setting. The presence of a stoma can significantly affect patients’ quality of life [23, 24] and is also associated with a risk of complications and re-interventions [25]. A stoma rate up to 35% has been described for complicated CD [26] and a penetrating phenotype of CD may explain a more common use of stomas in selected patients, because of abscesses and intra-abdominal contamination, or due to complex fistulae requiring more than one intestinal resection.…”

Section: Discussionmentioning

confidence: 99%

Longer small bowel segments are resected in emergency surgery for ileocaecal Crohn’s disease with a higher ileostomy and complication rate

et al. 2019

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BackgroundRepeated intestinal resections may have disabling consequences in patients with Crohn’s disease even in the absence of short bowel syndrome. Our aim was to evaluate the length of resected small bowel in patients undergoing elective and emergency surgery for ileocolic Crohn’s disease.MethodsA prospective observational study was conducted on patients undergoing surgery for ileocolonic Crohn’s disease in a single colorectal centre from May 2010 to April 2018. The following patients were included: (1) patients with first presentation of ileocaecal Crohn’s disease undergoing elective surgery; (2) patients with ileocaecal Crohn’s disease undergoing emergency surgery; (3) patients with recurrent Crohn’s disease of the distal ileum undergoing elective surgery. The primary outcomes were length of resected small bowel and the ileostomy rate. Operating time, complications and readmissions within 30 days were the secondary outcomes.ResultsOne hundred and sixty-eight patients were included: 87 patients in the elective primary surgery group, 50 patients in the emergency surgery group and 31 in the elective redo surgery group. Eleven patients (22%) in the emergency surgery group had an ileostomy compared to 10 (11.5%) in the elective surgery group (p < 0.0001). In the emergency surgery group the median length of the resected small bowel was 10 cm longer than into the group having elective surgery for primary Crohn’s disease.ConclusionsPatients undergoing emergency surgery for Crohn’s disease have a higher rate of stoma formation and 30-day complications. Laparoscopic surgery in the emergency setting has a higher conversion rate and involves resection of longer segments of small bowel.

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Section: Discussionmentioning

confidence: 99%

Longer small bowel segments are resected in emergency surgery for ileocaecal Crohn’s disease with a higher ileostomy and complication rate

et al. 2019

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“…The study of Mazloomymahmoodabad et al, showed Education Based on Precede-Proceed quality of life score in experimental as compared to control groups following an intervention [38]. Because oral health is an aspect of an individual’s quality of life [39, 40], it was expected that educational interventions would increase the mean total score of quality of life and the average score of different dimensions of quality of life in the elderly, according to a study conducted on the life quality of the elderly [41]. In the present study, the significant difference between the two groups following the educational intervention is a good indicator of the effect of educational intervention on improving the oral health related quality of life of the elderly.…”

Section: Discussionmentioning

confidence: 99%

Improvement in oral health related quality of life among the elderly: a randomized controlled trial

Shokouhi

Mohamadian

Babadi

et al. 2019

BioPsychoSocial Med

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BackgroundThe present study was conducted to determine the impact of educational intervention based on adult learning theory on oral health related quality of life of the elderly.Materials and methodsThis study (IRCT20120910010804N13) was performed with 92 elderly patients referred to the dental clinic of Ahvaz Jundishapur University of medical sciences. Participants were randomly divided into experimental and control groups. The data were gathered by a questionnaire with demographic variables, variables of oral health related quality of the elderly, and variables for assessing the effectiveness of adult learning theory. Following pre-test, educational programs were conducted for the interventional group. After 1 month, the questionnaire was again administered to both groups. Next, the results of pre-test and post-test were analyzed using SPSS-23 at a significance level of 0.05.ResultsEducational intervention was significant in terms of overall oral health related quality of life and the overall effectiveness score of adult learning theory (P < 0.001). There was a significant difference between the two groups in terms of the mean change score of three physical, psychosocial, and pain dimensions following the educational intervention (P < 0.001).ConclusionEducation based on adult learning theory is recommended for improving oral health related quality of life among the elderly.Trial registrationIranian Registry of Clinical Trials, IRCT20120910010804N13. Registered on 2018-12-16. https://www.irct.ir/trial/35239

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“…Prolapse is known to correlate with poor quality of life outcomes in patients with a long-term stoma [15], with patients demonstrating reduction in both physical and mental component scores of the generalized quality of life questionnaire SF-36 [16], as well as a significantly lower scores when assessed with Gastrointestinal Quality of Life Index (GIQLI) [17]. We note that from this select series that prolapse in this group of children happens relatively early after initial stoma formation and this may prompt the attending surgeon to consider surgery addressing the issue early in the patient journey.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique

Davidson

Healy

Blackburn

et al. 2018

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Long-term Quality of Life of Patients With Permanent End Ileostomy: Results of a Nationwide Cross-Sectional Survey

Cited by 62 publications

References 30 publications

Longer small bowel segments are resected in emergency surgery for ileocaecal Crohn’s disease with a higher ileostomy and complication rate

Longer small bowel segments are resected in emergency surgery for ileocaecal Crohn’s disease with a higher ileostomy and complication rate

Improvement in oral health related quality of life among the elderly: a randomized controlled trial

Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique

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