Temporary Ileostomy Versus Temporary Colostomy: A Meta-analysis of Complications

Lertsithichai, Panuwat; Rattanapichart, Pudsaporn

doi:10.1016/s1015-9584(09)60033-6

Cited by 47 publications

(24 citation statements)

References 11 publications

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“…According to the existing literature, it is expected that colostomy closure is more likely to be associated with infected wounds than ileostomy closure [13, 14]. In this study, colostomy closure indeed resulted in more postoperative wound infections, compared to ileostomy closure (27 vs. 13%), but this difference was not statistically significant.…”

Section: Discussionmentioning

confidence: 49%

Primary Closure of the Skin after Stoma Closure

et al. 2006

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Background and Aims: Whether or not the skin can be closed primarily after stoma closure is still debated in the existing literature. Therefore, this present study was undertaken to compare the complications and consequences between primary or delayed closure of the skin after stoma closure. Patients and Methods: All consecutive stoma closures between January 2001 and August 2004 were included. In 25 patients (group I), the skin at the stoma site was closed primarily. In 37 patients (group II), the skin was left open. Patient characteristics, comorbidity, medication use, hospital stay and long-term complications were recorded and retrospectively compared between the two groups. Results: In group I, wound infection rate was 36% versus 5% in group II (p = 0.005). Infected wounds were mostly found after ileostomy closure with primary closure of the skin (p = 0.018). The occurrence of a wound infection was not related to the use of corticosteroids, diabetes mellitus, fistula formation, anastomotic leakage, or primary disease and did not lead to a prolonged hospital stay or an increased number of incisional hernias. Conclusion: In our opinion, it is safe to close the skin after stoma closure, but patients should be informed carefully about the advantages and disadvantages of this strategy, especially in case of ileostomy closure.

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Section: Discussionmentioning

confidence: 49%

Primary Closure of the Skin after Stoma Closure

et al. 2006

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“…These authors have discouraged the routine use of temporary stomas, which can cause an additional burden due to stoma-related complications. In fact, the presence of a stoma has been correlated with significant morbidity and mortality rates (15-20 and 0.4 %, respectively) and with several specific complications (see Table 2) [16,[35][36][37]. The presence of a stoma also worsens the quality of life of ostomatous patients and can cause a permanent change in body image, with a significant psychological impact [38].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, stoma reversal can have a significant impact on patients, with a morbidity rate of 17 % and a non-negligible (0.4 %) mortality rate [35]. Furthermore of the patients who have undergone anterior rectal resection with a temporary stoma a percentage from 6 and 20 % will not undergo stoma reversal [36,37]. This percentage increases to 50 % if we consider only the elderly patients [39].…”

Section: Discussionmentioning

confidence: 99%

“…The creation of a stoma usually significantly affects the quality of life of these patients, with psychological implications and severe repercussions on working activity as well [36][37][38]. The use of GI allows for the avoidance of stoma creation in all patients, thus reducing the number of stomas performed and, as reported by Gullà et al, improving the quality of life of these patients [27].…”

Section: Discussionmentioning

confidence: 99%

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Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

et al. 2014

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“…[16][17][18][19] Only 3 systematic reviews have been published: a meta-analysis of the complications of temporary ileostomy versus temporary colostomy 20 ; a review of risk factors and prevention of parastomal hernias 21 ; and a review of the management of parastomal pyoderma gangrenosum. 22 None of these included an evaluation of the definitions for stoma complications, the measurement methods used to evaluate stoma complications, or the implications of measurement on study results.…”

Section: ■ Prior Reviewsmentioning

confidence: 99%

Incidence of Complications of the Stoma and Peristomal Skin Among Individuals with Colostomy, Ileostomy, and Urostomy

Salvadalena

2008

Journal of Wound, Ostomy &Amp; Continence Nursing

119

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The objectives of this systematic review were to assess the incidence of complications of the stoma and peristomal skin, synthesize possible reasons for variability in results, and make recommendations for future research. Twenty-one studies published in English between January 1990 and August 2007, with a prospective design that reported the number of complications of the stoma or peristomal skin among participants with colostomy, ileostomy, or urostomy, were identified. The types of complications most commonly reported were retraction, hernia, prolapse, peristomal skin problems, and necrosis. Incidence rates varied widely among studies, even when the same types of complications were measured. Inadequate reporting of attrition, the number of participants at each phase of analysis, and missing data were common problems. Differences among study durations, the absence of definitions of complications, and failure to describe how complications were evaluated contributed to variability in reported complication rates. More studies are needed that use a prospective design, consistent operational definitions, and valid and reliable measurement methods. These recommendations will help increase the availability of standardized data to make comparisons among studies possible.

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Temporary Ileostomy Versus Temporary Colostomy: A Meta-analysis of Complications

Abstract: There is not yet a strong case for the superiority of one temporary diverting stoma over another for all colorectal patients. In this regard, a large, well-conducted RCT is still needed.

Cited by 47 publications

References 11 publications

Primary Closure of the Skin after Stoma Closure

Primary Closure of the Skin after Stoma Closure

Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

Incidence of Complications of the Stoma and Peristomal Skin Among Individuals with Colostomy, Ileostomy, and Urostomy

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