Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study
Objectives: Stomal prolapse (SP) is one of the most common complications of loop colostomy and can impair a patient's quality of life. Herein, we evaluated the risk factors for SP to prevent its occurrence after a transverse loop colostomy. Methods: This retrospective study included 84 patients...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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The Japan Society of Coloproctology
2023-10-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/7/4/7_2023-013/_pdf/-char/en |
| _version_ | 1827784297154609152 |
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| author | Takuya Yano Masanori Yoshimitsu Chiyomi Ishibashi Atsuko Nishibara Kanyu Nakano Hitoshi Idani Masazumi Okajima |
| author_facet | Takuya Yano Masanori Yoshimitsu Chiyomi Ishibashi Atsuko Nishibara Kanyu Nakano Hitoshi Idani Masazumi Okajima |
| author_sort | Takuya Yano |
| collection | DOAJ |
| description | Objectives: Stomal prolapse (SP) is one of the most common complications of loop colostomy and can impair a patient's quality of life. Herein, we evaluated the risk factors for SP to prevent its occurrence after a transverse loop colostomy.
Methods: This retrospective study included 84 patients who underwent loop transverse colostomy between January 2016 and December 2020. We evaluated the incidence of SP and examined the relationship between perioperative factors and SP using univariate and multivariate logistic regressions.
Results: SP occurred in 11 (13.0%) patients. Median time to SP was 99 postoperative days. In the univariate analysis, a right side abdominal wall stoma site, perioperative chemotherapy, and anti-VEGF antibody therapy were associated with a significantly higher incidence of SP. Multivariate analysis identified that construction of a temporary loop colostomy in the right transverse colon during rectal cancer surgery (odds ratio, 5.07; 95% confidence interval, 1.12-22.86) is an independent risk factor.
Conclusions: In this study, multivariate analysis showed that the right side of the transverse colon was a risk factor for SP. Therefore, when constructing a transverse colon loop stoma, the stoma should be constructed in the left transverse colon to prevent SP. |
| first_indexed | 2024-03-11T16:01:09Z |
| format | Article |
| id | doaj.art-8cbdfc770fab4923895b1379ebdd889a |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-03-11T16:01:09Z |
| publishDate | 2023-10-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-8cbdfc770fab4923895b1379ebdd889a2023-10-25T07:00:35ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532023-10-017425826310.23922/jarc.2023-0132023-013Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort StudyTakuya Yano0Masanori Yoshimitsu1Chiyomi Ishibashi2Atsuko Nishibara3Kanyu Nakano4Hitoshi Idani5Masazumi Okajima6Department of Surgery, Hiroshima City Hiroshima Citizens HospitalDepartment of Surgery, Hiroshima City Hiroshima Citizens HospitalDepartment of Nursing, Hiroshima City Hiroshima Citizens HospitalDepartment of Nursing, Hiroshima City Hiroshima Citizens HospitalDepartment of Surgery, Hiroshima City Hiroshima Citizens HospitalDepartment of Surgery, Hiroshima City Hiroshima Citizens HospitalDepartment of Surgery, Hiroshima City Hiroshima Citizens HospitalObjectives: Stomal prolapse (SP) is one of the most common complications of loop colostomy and can impair a patient's quality of life. Herein, we evaluated the risk factors for SP to prevent its occurrence after a transverse loop colostomy. Methods: This retrospective study included 84 patients who underwent loop transverse colostomy between January 2016 and December 2020. We evaluated the incidence of SP and examined the relationship between perioperative factors and SP using univariate and multivariate logistic regressions. Results: SP occurred in 11 (13.0%) patients. Median time to SP was 99 postoperative days. In the univariate analysis, a right side abdominal wall stoma site, perioperative chemotherapy, and anti-VEGF antibody therapy were associated with a significantly higher incidence of SP. Multivariate analysis identified that construction of a temporary loop colostomy in the right transverse colon during rectal cancer surgery (odds ratio, 5.07; 95% confidence interval, 1.12-22.86) is an independent risk factor. Conclusions: In this study, multivariate analysis showed that the right side of the transverse colon was a risk factor for SP. Therefore, when constructing a transverse colon loop stoma, the stoma should be constructed in the left transverse colon to prevent SP.https://www.jstage.jst.go.jp/article/jarc/7/4/7_2023-013/_pdf/-char/enstomal prolapserisk factorsidedness of stoma construction |
| spellingShingle | Takuya Yano Masanori Yoshimitsu Chiyomi Ishibashi Atsuko Nishibara Kanyu Nakano Hitoshi Idani Masazumi Okajima Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study Journal of the Anus, Rectum and Colon stomal prolapse risk factor sidedness of stoma construction |
| title | Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study |
| title_full | Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study |
| title_fullStr | Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study |
| title_full_unstemmed | Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study |
| title_short | Stomal Prolapse Due to Sidedness of Transverse Loop Colostomy: A Retrospective Cohort Study |
| title_sort | stomal prolapse due to sidedness of transverse loop colostomy a retrospective cohort study |
| topic | stomal prolapse risk factor sidedness of stoma construction |
| url | https://www.jstage.jst.go.jp/article/jarc/7/4/7_2023-013/_pdf/-char/en |
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