Quality of Life of Patients After Temporary Ileostomy for Ileal Perforation- A Questionnaire Based Study

Saini, Pradeep; Gaba, Rahul; Faridi, Mohammad Shazib; Agarwal, Nitin; Kaur, Navneet; Gupta, Arun

doi:10.1007/s12262-012-0547-z

Cited by 19 publications

(22 citation statements)

References 6 publications

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“…Iranian Ostomy Society patients reported that change in clothing style had significant effects on overall QOL and its subscales (P < 0.05). 7 Abdominal pain, clothing and difficulty to hide the pouch were some of the factors which were significantly different between males and females (p<0.05). This is because women are more conscious and were worried about their body appearance.…”

Section: Discussionmentioning

confidence: 93%

“…6 To the best of our knowledge, there is only one study done in India which looked at QOL in patients with temporary stoma. 7 The QOL of all stoma patients, both temporary and permanent has not been addressed. And, therefore, this study aims to identify factors influencing QOL and to come up with recommendations to help patients with stoma to improve their QOL.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life assessment in stoma patients in a tertiary care hospital in South India: a cross- sectional study

Roshini¹,

Sunny²,

Rozario³

2017

Int Surg J

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Background: Quality of life (QOL) of patients is affected due to procedures done to treat the disease. A good QOL is essential to achieve a holistic approach in treating patients.Methods: We did a cross-sectional study in a tertiary care hospital to describe, identify and compare the factors affecting the QOL of these patients.Results: 42.5% had a permanent stoma and a majority 32.5% were due to a malignancy. Major concerns were skin rash and irritation, depression, loneliness and suicidal thoughts. 62.5% of the total had not gone to work after creation of a stoma. Malignancy was found to be a significant predictor of having a low QOL score.Conclusions: Quality of life of stoma patients in present study was not ideal. There is a definite need to have support groups for these patients in all hospitals.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Quality of life assessment in stoma patients in a tertiary care hospital in South India: a cross- sectional study

Roshini¹,

Sunny²,

Rozario³

2017

Int Surg J

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“…Pardeep Saini et al assessed common social concerns like feeling sexually unattractive, need to know toilet location, embarrassed about body image, disturbed sleep during night, limited choice of clothes, anxiety about pouch loosening, anxiety about pouch filling, staying away from home overnight which affect quality of life. 2 Hence, risk versus benefit in a patient specific scenario should be addressed. Thus, onus often lies on the operating surgeon to choose between the two procedures and 'choose wisely.'…”

Section: Discussionmentioning

confidence: 99%

“…This apparently disfiguring surgery causes change in body image and significantly influences the physical, mental, emotional and social life of the stoma patients. 2 This makes decision on whether to do a primary repair or diversion ileostomy, a controversial subject in emergency surgery. The study was carried out at Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna.…”

Section: Introductionmentioning

confidence: 99%

A Descriptive Study of Surgical Management of Ileal Perforation

Yashaswi¹,

Bhushan²,

Prakash³

et al. 2017

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BACKGROUNDEnteric perforation is one of the most frequently encountered acute surgical emergency in Northern India and always warrants operative intervention. But the kind of intervention, whether primary repair or ileostomy is a contentious issue. MATERIALS AND METHODS120 cases of ileal perforation were studied in retrospective manner from August 2015 to July 2016 to gather information on demographic profile, clinical presentation and laboratory data. Details were obtained for operative findings and kind of operative intervention done and postoperative course of the patients. Based on the kind of operative intervention received, patients were divided into four groups. RESULTSIleal perforation occurred in young males (age 29.2 ± 7.9 years). Male [M] Female [F] ratio has been found to be M: F, 2.33: 1. In our study 60% of patients had Widal positive supporting typhoid aetiology; 50% of patients underwent primary closure, while 30% underwent ileostomy. Nature of clinical presentation, laboratory data and operative findings in both groups has been analysed. CONCLUSIONWe have carried out this study to label some of the preoperative and intraoperative factors, which can serve as a guideline for decision making in operative intervention in a specific patient. KEYWORDSIleal Perforation, Ileostomy, Primary Closure, Typhoid. HOW TO CITE THIS ARTICLE:Yashaswi YK, Bhushan V, Prakash P, et al. A descriptive study of surgical management of ileal perforation.

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“…The time involved in obtaining a contrast study adds substantially to the overall waiting time before a stoma can be reversed. 6 It also burdens the hospital resources, 7 exposes patients to radiation and increases the cost to patients as they often have to pay for the contrast. Delay in stoma reversal affects the quality of life 7 and is associated with increased morbidity.…”

Section: Introductionmentioning

confidence: 99%

Should routine contrast study be a norm before stoma reversal? A retrospective study of patients with temporary ileostomy

Saini¹,

Gupta

Sharma

et al. 2013

Trop Doct

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In the developed nations, temporary ileostomies are usually made in order to protect a distal anastomosis after cancer surgery. However, in India and the neighbouring countries ileal perforation is the most common indication for creating a temporary ileostomy after emergency laparotomy. It seems logical to perform a contrast study when a stoma that was made to protect a bowel anastomosis is being reversed in order to check for anastomosis healing, leak or stenosis. Although we do not know precisely when and why we started this practice, it is customary at our institute to do a contrast study before reversal of a temporary ileostomy. At some institutes a routine contrast study is never done. The utility of this practice has not previously been studied at our institute. This study tries to correlate the surgeon's clinical and operative findings with the contrast study report in order to see if it may be reasonable to reverse the stoma without a routine contrast study in selected patients where the surgeon has clearly documented absence of any gross disease in the distal bowel and who have had an uneventful post-operative period. To our knowledge this appears to be the first such attempt from our country.

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Quality of Life of Patients After Temporary Ileostomy for Ileal Perforation- A Questionnaire Based Study

Cited by 19 publications

References 6 publications

Quality of life assessment in stoma patients in a tertiary care hospital in South India: a cross- sectional study

Quality of life assessment in stoma patients in a tertiary care hospital in South India: a cross- sectional study

A Descriptive Study of Surgical Management of Ileal Perforation

Should routine contrast study be a norm before stoma reversal? A retrospective study of patients with temporary ileostomy

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