Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review
Abstract Background Preventive colostomy is required for colorectal surgery, and the incidence of complications associated with ileostomy and colostomy remains controversial. This study aimed to compare the incidence of postoperative complications between ileostomy and colostomy procedures. Methods...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02129-w |
| _version_ | 1827635764011204608 |
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| author | Zheng Ge Xiang Zhao Zitian Liu Guangwei Yang Qunzheng Wu Xiaoyang Wang Xiang Zhang Zhiqiang Cheng Kexin Wang |
| author_facet | Zheng Ge Xiang Zhao Zitian Liu Guangwei Yang Qunzheng Wu Xiaoyang Wang Xiang Zhang Zhiqiang Cheng Kexin Wang |
| author_sort | Zheng Ge |
| collection | DOAJ |
| description | Abstract Background Preventive colostomy is required for colorectal surgery, and the incidence of complications associated with ileostomy and colostomy remains controversial. This study aimed to compare the incidence of postoperative complications between ileostomy and colostomy procedures. Methods Data analysis was conducted on 30 studies, and meta-analysis and trial sequential analysis (TSA) were performed on five studies. The basic indicators, such as stoma prolapse, leak, wound infection, ileus, and a series of other indicators, were compared. Results No statistically significant differences were observed with complications other than stoma prolapse. Meta-analysis and TSA showed that the incidence of ileostomy prolapse was lower than that of colostomy prolapse, and the difference was statistically significant. Apart from the four complications listed above, the general data analysis showed differences in incidence between the two groups. The incidence of skin irritation, parastomal hernia, dehydration, pneumonia, and urinary tract infections was higher with ileostomy than with colostomy. In contrast, the incidence of parastomal fistula, stenosis, hemorrhage, and enterocutaneous fistula was higher with colostomy than with ileostomy. Conclusions There were differences in the incidence of ileostomy and colostomy complications in the selected studies, with a low incidence of ileostomy prolapse. PROSPERO registration number CRD42022303133. |
| first_indexed | 2024-03-09T15:32:02Z |
| format | Article |
| id | doaj.art-4d3d370ff6c244e0a0eb24abec9c1f77 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-09T15:32:02Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-4d3d370ff6c244e0a0eb24abec9c1f772023-11-26T12:11:39ZengBMCBMC Surgery1471-24822023-08-0123111110.1186/s12893-023-02129-wComplications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic reviewZheng Ge0Xiang Zhao1Zitian Liu2Guangwei Yang3Qunzheng Wu4Xiaoyang Wang5Xiang Zhang6Zhiqiang Cheng7Kexin Wang8Cheeloo College of Medicine, Shandong UniversityCheeloo College of Medicine, Shandong UniversityCheeloo College of Medicine, Shandong UniversityCheeloo College of Medicine, Shandong UniversityDepartment of General Surgery, Qilu Hospital of Shandong UniversityDepartment of General Surgery, Qilu Hospital of Shandong UniversityDepartment of General Surgery, Qilu Hospital of Shandong UniversityDepartment of General Surgery, Qilu Hospital of Shandong UniversityDepartment of General Surgery, Qilu Hospital of Shandong UniversityAbstract Background Preventive colostomy is required for colorectal surgery, and the incidence of complications associated with ileostomy and colostomy remains controversial. This study aimed to compare the incidence of postoperative complications between ileostomy and colostomy procedures. Methods Data analysis was conducted on 30 studies, and meta-analysis and trial sequential analysis (TSA) were performed on five studies. The basic indicators, such as stoma prolapse, leak, wound infection, ileus, and a series of other indicators, were compared. Results No statistically significant differences were observed with complications other than stoma prolapse. Meta-analysis and TSA showed that the incidence of ileostomy prolapse was lower than that of colostomy prolapse, and the difference was statistically significant. Apart from the four complications listed above, the general data analysis showed differences in incidence between the two groups. The incidence of skin irritation, parastomal hernia, dehydration, pneumonia, and urinary tract infections was higher with ileostomy than with colostomy. In contrast, the incidence of parastomal fistula, stenosis, hemorrhage, and enterocutaneous fistula was higher with colostomy than with ileostomy. Conclusions There were differences in the incidence of ileostomy and colostomy complications in the selected studies, with a low incidence of ileostomy prolapse. PROSPERO registration number CRD42022303133.https://doi.org/10.1186/s12893-023-02129-wPreventive loop ileostomyPreventive loop colostomyProlapseComplication |
| spellingShingle | Zheng Ge Xiang Zhao Zitian Liu Guangwei Yang Qunzheng Wu Xiaoyang Wang Xiang Zhang Zhiqiang Cheng Kexin Wang Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review BMC Surgery Preventive loop ileostomy Preventive loop colostomy Prolapse Complication |
| title | Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review |
| title_full | Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review |
| title_fullStr | Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review |
| title_full_unstemmed | Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review |
| title_short | Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review |
| title_sort | complications of preventive loop ileostomy versus colostomy a meta analysis trial sequential analysis and systematic review |
| topic | Preventive loop ileostomy Preventive loop colostomy Prolapse Complication |
| url | https://doi.org/10.1186/s12893-023-02129-w |
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