Incidence and risk factor of outlet obstruction after construction of ileostomy
There are several reports on the usefulness of diverting ileostomy for decreasing the incidence of anastomotic leakage and the severity of pelvic peritonitis. However, a number of complications induced by ileostomy itself have also been reported, including a special condition induced by obstruction...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Japan Society of Coloproctology
2018-01-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/2/1/2_2017-034/_pdf/-char/en |
| _version_ | 1811273676139528192 |
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| author | Gaku Ohira Hideaki Miyauchi Koichi Hayano Akiko Kagaya Shunsuke Imanishi Toru Tochigi Tetsuro Maruyama Hisahiro Matsubara |
| author_facet | Gaku Ohira Hideaki Miyauchi Koichi Hayano Akiko Kagaya Shunsuke Imanishi Toru Tochigi Tetsuro Maruyama Hisahiro Matsubara |
| author_sort | Gaku Ohira |
| collection | DOAJ |
| description | There are several reports on the usefulness of diverting ileostomy for decreasing the incidence of anastomotic leakage and the severity of pelvic peritonitis. However, a number of complications induced by ileostomy itself have also been reported, including a special condition induced by obstruction at the outlet of the stoma known as “outlet obstruction.” In this study, we examined the frequency and risk factors of this complication based on the data of ileostomy cases in our institution. Methods: One hundred and seven patients who received ileostomy creation at our department from January 2010 to December 2015 were included. The incidence of outlet obstruction and risk factors were analyzed. Results: Outlet obstruction occurred in 18 cases (16.8%). The incidence was significantly higher in total colectomy or proctocolectomy cases as well as in those with left side construction and laparoscopic surgery than in other patients in a univariate analysis. However, in a multivariate analysis, no risk factors were extracted. Conclusions: To determine the true cause of this disease, a prospective study with a large number of cases is needed. Since multiple terms are used for this condition, resulting in confusion, a consensus on the appropriate terms is also important. |
| first_indexed | 2024-04-12T23:03:32Z |
| format | Article |
| id | doaj.art-822577a12d674a8fbf673d3c449ad40a |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-04-12T23:03:32Z |
| publishDate | 2018-01-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-822577a12d674a8fbf673d3c449ad40a2022-12-22T03:12:58ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532018-01-0121253010.23922/jarc.2017-0342017-034Incidence and risk factor of outlet obstruction after construction of ileostomyGaku Ohira0Hideaki Miyauchi1Koichi Hayano2Akiko Kagaya3Shunsuke Imanishi4Toru Tochigi5Tetsuro Maruyama6Hisahiro Matsubara7Department of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Frontier Surgery, Graduate School of Medicine, Chiba UniversityThere are several reports on the usefulness of diverting ileostomy for decreasing the incidence of anastomotic leakage and the severity of pelvic peritonitis. However, a number of complications induced by ileostomy itself have also been reported, including a special condition induced by obstruction at the outlet of the stoma known as “outlet obstruction.” In this study, we examined the frequency and risk factors of this complication based on the data of ileostomy cases in our institution. Methods: One hundred and seven patients who received ileostomy creation at our department from January 2010 to December 2015 were included. The incidence of outlet obstruction and risk factors were analyzed. Results: Outlet obstruction occurred in 18 cases (16.8%). The incidence was significantly higher in total colectomy or proctocolectomy cases as well as in those with left side construction and laparoscopic surgery than in other patients in a univariate analysis. However, in a multivariate analysis, no risk factors were extracted. Conclusions: To determine the true cause of this disease, a prospective study with a large number of cases is needed. Since multiple terms are used for this condition, resulting in confusion, a consensus on the appropriate terms is also important.https://www.jstage.jst.go.jp/article/jarc/2/1/2_2017-034/_pdf/-char/enoutlet obstructionileostomyrisk factorulcerative colitisrectal cancer |
| spellingShingle | Gaku Ohira Hideaki Miyauchi Koichi Hayano Akiko Kagaya Shunsuke Imanishi Toru Tochigi Tetsuro Maruyama Hisahiro Matsubara Incidence and risk factor of outlet obstruction after construction of ileostomy Journal of the Anus, Rectum and Colon outlet obstruction ileostomy risk factor ulcerative colitis rectal cancer |
| title | Incidence and risk factor of outlet obstruction after construction of ileostomy |
| title_full | Incidence and risk factor of outlet obstruction after construction of ileostomy |
| title_fullStr | Incidence and risk factor of outlet obstruction after construction of ileostomy |
| title_full_unstemmed | Incidence and risk factor of outlet obstruction after construction of ileostomy |
| title_short | Incidence and risk factor of outlet obstruction after construction of ileostomy |
| title_sort | incidence and risk factor of outlet obstruction after construction of ileostomy |
| topic | outlet obstruction ileostomy risk factor ulcerative colitis rectal cancer |
| url | https://www.jstage.jst.go.jp/article/jarc/2/1/2_2017-034/_pdf/-char/en |
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