Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study

Higashimoto, Iku; Teshima, Jin; Ozawa, Yohei; Usuda, Masahiro; Miyata, Go

doi:10.1007/s00595-022-02632-2

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…This outcome is closely related to preoperative clinical decision-making. In contrast, studies [17] have shown that ileostomy should be the procedure of choice for short-term temporary stoma, but colostomy is more suitable for patients who need long-term or permanent stoma. In patients with ileostomy, electrolyte disturbance and chronic renal impairment due to high output dehydration and peristomy dermatitis are significantly higher than colostomy, which significantly affects quality of life (QoL) in patients with persistent stoma status [18][19][20].…”

Section: Introductionmentioning

confidence: 94%

Preoperative risk factors and cumulative incidence of temporary ileostomy non-closure after sphincter-preserving surgery for rectal cancer: a meta-analysis

He,

Tang,

Yang

et al. 2024

World J Surg Onc

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Background Temporary ileostomy (TI) has proven effective in reducing the severity of anastomotic leakage after rectal cancer surgery; however, some ileostomies fail to reverse over time, leading to conversion into a permanent stoma (PS). In this study, we aimed to investigate the preoperative risk factors and cumulative incidence of TI non-closure after sphincter-preserving surgery for rectal cancer. Materials and methods We conducted a meta-analysis after searching the Embase, Web of Science, PubMed, and MEDLINE databases from their inception until November 2023. We collected all published studies on the risk factors related to TI non-closure after sphincter-preserving surgery for rectal cancer. Results A total of 1610 studies were retrieved, and 13 studies were included for meta-analysis, comprising 3026 patients. The results of the meta-analysis showed that the identified risk factors included older age (p = 0.03), especially > 65 years of age (p = 0.03), male sex (p = 0.009), American Society of Anesthesiologists score ≥ 3 (p = 0.004), comorbidity (p = 0.001), and distant metastasis (p < 0.001). Body mass index, preoperative hemoglobin, preoperative albumin, preoperative carcinoma embryonic antigen, tumor location, neoadjuvant chemoradiotherapy, smoking, history of abdominal surgery, and open surgery did not significantly change the risk of TI non-closure. Conclusion We identified five preoperative risk factors for TI non-closure after sphincter-preserving surgery for rectal cancer. This information enables surgeons to identify high-risk groups before surgery, inform patients about the possibility of PS in advance, and consider performing protective colostomy or Hartmann surgery.

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Section: Introductionmentioning

confidence: 94%

Preoperative risk factors and cumulative incidence of temporary ileostomy non-closure after sphincter-preserving surgery for rectal cancer: a meta-analysis

He,

Tang,

Yang

et al. 2024

World J Surg Onc

View full text Add to dashboard Cite

show abstract

“…In contrast, studies 17 have shown that ileostomy should be the procedure of choice for short-term temporary stoma, but colostomy is more suitable for patients who need long-term or permanent stoma. In patients with ileostomy, electrolyte disturbance and chronic renal impairment due to high output dehydration and peristomy dermatitis are signi cantly higher than colostomy, which signi cantly affects quality of life (QoL) in patients with persistent stoma status.…”

Section: Introductionmentioning

confidence: 94%

Preoperative risk factors and cumulative incidence of temporary ileostomy non-closure after sphincter-preserving surgery for rectal cancer: a meta-analysis

He,

tang,

Yang

et al. 2024

Preprint

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Background Temporary ileostomy (TI) has proven effective in reducing the severity of anastomotic leakage after rectal cancer surgery; however, some ileostomies fail to reverse over time, leading to conversion into a permanent stoma (PS). In this study, we aimed to investigate the preoperative risk factors and cumulative incidence of TI non-closure after sphincter-preserving surgery for rectal cancer. Materials and Methods We conducted a meta-analysis after searching the Embase, Web of Science, PubMed, and MEDLINE databases from their inception until November 2023. We collected all published studies on the risk factors related to TI non-closure after sphincter-preserving surgery for rectal cancer. Results A total of 1610 studies were retrieved, and 13 studies were included for meta-analysis, comprising 3026 patients. The results of the meta-analysis showed that the identified risk factors included older age (p = 0.03), especially > 65 years of age (p = 0.03), male sex (p = 0.009), American Society of Anesthesiologists score ≥ 3 (p = 0.004), comorbidity (p = 0.001), and distant metastasis (p < 0.001). Body mass index, preoperative hemoglobin, preoperative albumin, preoperative carcinoma embryonic antigen, tumor location, neoadjuvant chemoradiotherapy, smoking, history of abdominal surgery, and open surgery did not significantly change the risk of TI non-closure Conclusion We identified five preoperative risk factors for TI non-closure after sphincter-preserving surgery for rectal cancer. This information enables surgeons to identify high-risk groups before surgery, inform patients about the possibility of PS in advance, and consider performing protective colostomy or Hartmann surgery.

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Risk factors for stoma prolapse after laparoscopic loop colostomy

Takashima,

Hino,

Shiomi

et al. 2024

Surg Endosc

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Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study

Cited by 3 publications

References 26 publications

Preoperative risk factors and cumulative incidence of temporary ileostomy non-closure after sphincter-preserving surgery for rectal cancer: a meta-analysis

Preoperative risk factors and cumulative incidence of temporary ileostomy non-closure after sphincter-preserving surgery for rectal cancer: a meta-analysis

Preoperative risk factors and cumulative incidence of temporary ileostomy non-closure after sphincter-preserving surgery for rectal cancer: a meta-analysis

Risk factors for stoma prolapse after laparoscopic loop colostomy

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