Randomized clinical trial of intracutaneously<i>versus</i>transcutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

Sier, M.; Wisselink, D D; Ubbink, Dirk T.; Oostenbroek, R.J.; Veldink, G J; Lamme, Bas; Duijvendijk, Peter van; Geloven, A. A. W. van; Eijsbouts, Q. A. J.; Bemelman, W. A.

doi:10.1002/bjs.10750

Cited by 15 publications

(7 citation statements)

References 22 publications

(20 reference statements)

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“…A recent RCT showed that intracutaneously sutured ileostomies may reduce stoma leakage in contrast to transcutaneously sutured ones (52.4% vs 41.4%), but are associated with similar overall stoma related complications and HRQoL [223]. A relatively recent systematic review [167] confirmed that both IPAA and PCEI may have equivalent HRQoL.…”

Section: Proctocolectomy With Terminal Ileostomymentioning

confidence: 99%

Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): ulcerative colitis

et al. 2020

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The Italian Society of Colorectal Surgery (SICCR) promoted the project reported here, which consists of a Position Statement of Italian colorectal surgeons to address the surgical aspects of ulcerative colitis management. Members of the society were invited to express their opinions on several items proposed by the writing committee, based on evidence available in the literature. The results are presented, focusing on relevant points. The present paper is not an alternative to available guidelines; rather, it offers a snapshot of the attitudes of SICCR surgeons about the surgical treatment of ulcerative colitis. The committee was able to identify some points of major disagreement and suggested strategies to improve the quality of available data and acceptance of guidelines.

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Section: Proctocolectomy With Terminal Ileostomymentioning

confidence: 99%

Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): ulcerative colitis

et al. 2020

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“…Após a aplicação dos demais critérios de inclusão, dos 29 estudos selecionados para a leitura na íntegra, 19 compuseram a amostra da presente revisão, conforme mostra o fluxograma na Figura 1. Dos 19 estudos incluídos na revisão [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] , quatro foram desenvolvidos na Holanda, três nos Estados Unidos da América, dois na Índia, dois na China, dois na Noruega, um na Finlândia, um no Japão, um na Arábia Saudita, um na Turquia, um na Alemanha e um no Irã. O Inglês foi o idioma da totalidade dos estudos.…”

Section: Resultsunclassified

“…Na categoria técnicas cirúrgicas foram vinculados 10 artigos [9][10][11][12][13][14]17,19,20,24 que estudaram o manejo de complicações de estomia e pele periestoma. Esta categoria fornece ao profissional subsídios para o desenvolvimento de estratégias de cuidados pré e pós-operatórios relacionados às diversas técnicas cirúrgicas e suas consequências.…”

Section: Técnicas Cirúrgicasunclassified

“…Nesse sentido, ao comparar as taxas de vazamento fecal entre ileostomias suturadas intracutaneamente versus as suturadas transcutaneamente, a taxa geral de vazamento foi significativamente maior com o uso de suturas intracutâneas. Não houve diferença na qualidade de vida entre os grupos, no entanto, a taxa de complicações relacionadas à estomia foi alta, principalmente devido ao vazamento e à irritação da pele 24 .…”

Section: Ano / Autorunclassified

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Complicações de estomia intestinal e pele periestoma: evidências para o cuidado de enfermagem [Complications of ostomy bowel and peristomal skin: evidence for nursing care] [Complicaciones de la ostomía intestinal y de la piel peristoma: evidencia para el cuidado de enfermeira]

et al. 2019

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Objetivo: identificar e analisar as evidências disponíveis na literatura sobre as complicações de estomia intestinal e pele periestoma. Método: revisão integrativa, em bases virtuais de dados, com inclusão de estudos do tipo ensaio clínico randomizado, publicados nos idiomas inglês, espanhol e português, no período de maio 2013 a maio de 2019. Resultados: foram selecionados 19 estudos e agrupados em três categorias: técnicas cirúrgicas apontando técnicas inovadoras acerca do tipo de suturas, ressecção e exteriorização de alça intestinal, além de reforços para prevenção de hérnias; barreiras de pele e equipamentos coletores, abordando principalmente as barreiras de pele para prevenção e tratamento da dermatite; cuidados de enfermagem mostrando cuidados e programas de acompanhamento, como visitas domiciliares, consultas e programas educativos. Conclusões: As estratégias descritas nos estudos revisados são importantes na medida em que poderão enriquecer o conhecimento do enfermeiro e dessa forma reduzir complicações de estomia e pele periestoma e melhorar a qualidade de vida dessas pessoas.ABSTRACTObjective: to identify and analyze the evidence available in the literature on the complications of intestinal ostomy and peristomal skin. Method: integrative review in virtual databases, including randomized clinical trial studies published in English, Spanish and Portuguese, from May 2013 to May 2019. Results: 19 studies were selected and grouped into three categories: surgical techniques pointing innovative techniques about the type of sutures, resection and externalization of the intestinal loop, in addition to reinforcements to prevent hernias; skin barriers and collecting equipment, mainly addressing skin barriers for the prevention and treatment of dermatitis; nursing care showing care and follow-up programs such as home visits, consultations, and educational programs. Conclusion: the strategies described in the reviewed studies are important as they may enrich the knowledge of nurses and thus reduce complications of ostomy and peristome skin and improve the quality of life of these people.RESUMENObjetivo: identificar y analizar la evidencia disponible en la literatura sobre las complicaciones de la ostomía intestinal y la piel peristomal. Método: revisión integradora en bases de datos virtuales, incluidos estudios de ensayos clínicos aleatorizados publicados en inglés, español y portugués, de mayo de 2013 a mayo de 2019. Resultados: se seleccionaron 19 estudios y se agruparon en tres categorías: técnicas quirúrgicas que apuntan técnicas innovadoras sobre el tipo de suturas, resección y externalización del asa intestinal, además de refuerzos para prevenir hernias; barreras cutáneas y equipos de recolección, principalmente para abordar las barreras cutáneas para la prevención y el tratamiento de la dermatitis; atención de enfermería que muestra programas de atención y seguimiento, como visitas domiciliarias, consultas y programas educativos. Conclusiones: Las estrategias descritas en los estudios revisados on importantes ya que pueden enriquecer el conocimiento de las enfermeras y, por lo tanto, reducir las complicaciones de la ostomía y la piel peristómica y mejorar la calidad de vida de estas personas.

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“…Stoma is considered to be an effective method in order to prevent this complication 5 , 6 . But it may also cause stoma-related complications, such as peristomal dermatitis and retraction, some of which are common in clinic and significantly affect postoperative quality of life of the patients 7 , 8 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of the clinical outcomes of skin bridge loop ileostomy and traditional loop ileostomy in patients with low rectal cancer

Yang

Huang

et al. 2021

Sci Rep

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To compare the clinical results of patients with low rectal cancer who underwent skin bridge loop ileostomy and traditional loop ileostomy, and provide clinical evidence for choosing a better ostomy method. We retrospectively collected data of 118 patients with rectal cancer who underwent low anterior resection and loop ileostomy. To investigate the patients characteristics, postoperative stoma-related complications and the frequency of exchanged ostomy bags. The differences of these indicators between the two groups of patients who underwent skin bridge loop ileostomy and traditional loop ileostomy were compared. The Visual Analog Scale (VAS) score of the skin bridge loop ileostomy group was lower than that of the traditional ileostomy loop group (P < 0.05). The skin bridge group had a lower Discoloration, Erosion, Tissue overgrowth (DET) score and incidence of mucocutaneous separation than the traditional group at the 1st and 2nd weeks after operation (P < 0.05). The average number of weekly exchanged ostomy bags was significantly less in the skin bridge group than in the traditional group within 4 weeks after surgery (P < 0.05). Our experience demonstrates that the skin bridge loop ileostomy may significantly reduce early postoperative stoma-related complications, the frequency of exchanged ostomy bags and patients’ medical costs after discharge.

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Randomized clinical trial of intracutaneouslyversustranscutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

Cited by 15 publications

References 22 publications

Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): ulcerative colitis

Inflammatory bowel disease position statement of the Italian Society of Colorectal Surgery (SICCR): ulcerative colitis

Complicações de estomia intestinal e pele periestoma: evidências para o cuidado de enfermagem [Complications of ostomy bowel and peristomal skin: evidence for nursing care] [Complicaciones de la ostomía intestinal y de la piel peristoma: evidencia para el cuidado de enfermeira]

Comparison of the clinical outcomes of skin bridge loop ileostomy and traditional loop ileostomy in patients with low rectal cancer

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