Reversal of Ileostomy following elective anterior resection for rectal cancer: a review of current practice

Abstract

Anterior resection for rectal cancer is typically performed with a covering temporary loop ileostomy. The authors carried out a review of practice to assess the timing of ileostomy reversal following anterior resection to determine if the patient information was accurate. Although the review was small, the findings correlated to those of previous larger studies. The median length of time for reversal was 5 months, which was longer than expected, and 9 months if patients required chemotherapy However, 11% of patients were found not to have their temporary ileostomy reversed. Fewer patients—28.6%—had an ileostomy than previously thought following anterior resection. This review has resulted in a change of practice, with patients being offered reversal in 3–4 months following anterior resection or on completion of chemotherapy. Patients are now contacted by their clinical nurse specialist before their reversal and provided with pre- and postoperative information, advice, and support to manage the effects of bowel dysfunction.