Risk factors for postoperative ileus following loop ileostomy closure

Aktaş, Aydın; Kayaalp, Cüneyt; Ateş, Mustafa; Dirican, Abuzer

doi:10.47717/turkjsurg.2020.4911

Cited by 7 publications

(11 citation statements)

References 33 publications

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“…However, these studies did not focus on the details of the index surgery, and the relationship between the index surgery and postoperative ileus after ileostomy closure has not been su ciently evaluated. Laparotomy and total colectomy during the index surgery are reported risk factors for postoperative ileus after ileostomy [8]. In the present study, all index surgeries were performed laparoscopically, and there was a signi cant difference in laparoscopic operative procedures between the POI (+) and POI (−) groups.…”

Section: Discussionmentioning

confidence: 63%

“…In this study, the incidence of postoperative complications after ileostomy closure was 22.6%, and the incidence of ileus was 14.5%. Some reports have investigated the risk factors for postoperative complications or ileus after ileostomy closure [7][8][9][10]. However, these studies did not focus on the details of the index surgery, and the relationship between the index surgery and postoperative ileus after ileostomy closure has not been su ciently evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…We usually close the ileostomy from three to six months after the surgery [6]. Some reports have investigated the risk factors for postoperative complications or ileus after ileostomy closure [7][8][9][10]. However, these studies did not focus on the details of the index surgery, such as TaTME and lateral lymph node dissection (LLND).…”

Section: Introductionmentioning

confidence: 99%

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Postoperative complication of the index surgery is a risk factors for postoperative ileus after diverting loop ileostomy closure: a retrospective study

Nakao¹,

Shimada²,

Yoshikawa³

et al. 2021

Preprint

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Background: Postoperative ileus is one of the most common complications after diverting loop ileostomy closure. Some reports have investigated the risk factors for postoperative complications or ileus after ileostomy closure; however, these studies did not evaluate the index surgery sufficiently. In this study, we evaluated the risk factors, including the details of the index surgery, for ileus after diverting ileostomy closure.Methods: This was a retrospective study of patients who underwent ileostomy closure following index surgery for rectal cancer. Patients who developed postoperative ileus (POI (+)) and patients who did not (POI (−)) after ileostomy closure were compared.Results: Fifty-nine patients were evaluated and were divided into two groups: POI (+) (n=9) and POI (−) (n=50), and the groups were compared. There were no significant differences in the details of the index surgery, operative procedure, transanal total mesorectal excision, lateral lymph node dissection, operating time, or blood loss. The incidence of Clavien–Dindo grade ≥ III complications after the index surgery was significantly higher in the POI (+) group. Conclusions: The incidence of Clavien–Dindo grade ≥ III complications after the index surgery may increase the risk of postoperative ileus after ileostomy closure.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Postoperative complication of the index surgery is a risk factors for postoperative ileus after diverting loop ileostomy closure: a retrospective study

Nakao¹,

Shimada²,

Yoshikawa³

et al. 2021

Preprint

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“…Local and systemic inflammatory responses caused by the surgery also play a key role. 28 First, tissue trauma caused by surgical operations causes local accumulation of large amounts of cytokines and inflammatory transmitters in the intestine, resulting in edema of the intestinal wall, which directly affects gastrointestinal motility. 29 Second, increased permeability of the intestinal epithelial barrier also leads to translocation of bacteria and endotoxins, exacerbating the inflammatory response.…”

Section: Discussionmentioning

confidence: 99%

Effect of Perioperative Intravenous Lidocaine on Postoperative Recovery in Patients Undergoing Ileostomy Closure: Study Protocol for a Randomized Controlled Trial

Liu¹,

Liu²,

Wang³

et al. 2022

JPR

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Introduction Opioids have been widely used clinically as the first choice for pain management. Ileostomy closure usually leads to temporary intestinal paralysis, which manifests as abdominal distension and pain, delayed defecation, nausea, and vomiting. Intraoperative and postoperative use of opioids inhibit gastrointestinal function and aggravate intestinal paralysis, and are notoriously addictive. Thus, reducing perioperative opioid use is important for patients undergoing ileostomy closure to restore the continuity and integrity of the intestine. Intravenous lidocaine has been shown to have anti-inflammatory properties and analgesic effects. We consider minimizing the use of opioids for such patients, and perioperative intravenous injection of lidocaine may be beneficial to the recovery of intestinal function in patients with ileostomy closure. Methods and Analysis This is a randomized double-blind placebo-controlled trial to investigate the effectiveness and safety of intravenous lidocaine in patients undergoing ileostomy closure. The time of first postoperative anal venting, postoperative opioids use, postoperative recovery, intraoperative adverse effects and postoperative complications will be collected and analyzed.

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“…It is also essential to know how to identify and manage postoperative complications associated with this technique, such as ileus, anastomotic leak, surgical infection, and incisional 3 During this video, we present some tips and tricks on to decrease the risk of occurrence of these complications. 4 Twitter Martina Aida Angeles @AngelesFite and Alejandra Martinez @Alejandra Contributors All authors made appropriate contributions to the manuscript. MAA is responsible for the overall content as guarantor.…”

Section: Video Articlementioning

confidence: 99%

Tips and tricks for ileostomy closure after diverting ileostomy for gynecological cancer surgery

Ángeles

Lago²,

Bizzarri

et al. 2023

Int J Gynecol Cancer

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Risk factors for postoperative ileus following loop ileostomy closure

Cited by 7 publications

References 33 publications

Postoperative complication of the index surgery is a risk factors for postoperative ileus after diverting loop ileostomy closure: a retrospective study

Postoperative complication of the index surgery is a risk factors for postoperative ileus after diverting loop ileostomy closure: a retrospective study

Effect of Perioperative Intravenous Lidocaine on Postoperative Recovery in Patients Undergoing Ileostomy Closure: Study Protocol for a Randomized Controlled Trial

Tips and tricks for ileostomy closure after diverting ileostomy for gynecological cancer surgery

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