Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction
Purpose Surgery to create a stoma for decompression might be required for unresectable stage IV cancer patients with complete colonic obstruction. The aim of this study was to compare the results of blowhole colostomy with those of loop ostomy. Methods Palliative ileostomy or colostomy procedures pe...
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2022-08-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00682-0097.pdf |
| _version_ | 1817986916777197568 |
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| author | Yongjun Park Dong Uk Choi Hyung Ook Kim Yong Bog Kim Chungki Min Jung Tack Son Sung Ryol Lee Kyung Uk Jung Hungdai Kim |
| author_facet | Yongjun Park Dong Uk Choi Hyung Ook Kim Yong Bog Kim Chungki Min Jung Tack Son Sung Ryol Lee Kyung Uk Jung Hungdai Kim |
| author_sort | Yongjun Park |
| collection | DOAJ |
| description | Purpose Surgery to create a stoma for decompression might be required for unresectable stage IV cancer patients with complete colonic obstruction. The aim of this study was to compare the results of blowhole colostomy with those of loop ostomy. Methods Palliative ileostomy or colostomy procedures performed at a single center between January 2011 and October 2020, were analyzed retrospectively. Fifty-nine patients were identified during this period. The demographic characteristics and outcomes between the blowhole colostomy group (n=24) and the loop ostomy group (n=35) were compared. Results The median operative time tended to be shorter in the blowhole colostomy group (52.5 minutes; interquartile range [IQR], 43–65) than in the loop ostomy group (60 minutes; IQR, 40–107), but the difference did not reach statistical significance (P=0.162). The median length of hospital stay was significantly shorter with blowhole colostomy (blowhole, 13 days [IQR, 9–23]; loop, 21 days [IQR, 14–37]; P=0.013). Mean cecum diameter was significantly larger in the blowhole group than in the loop group (8.83±1.91 cm vs. 6.78±2.36 cm, P=0.001), and the emergency operation rate was higher in the blowhole group than in the loop group (22 of 24 [91.7%] vs. 23 of 35 [65.7%], P=0.021). Conclusion In surgical emergencies, diverting a blowhole colostomy can be safe and effective for palliative management of colonic obstruction in patients with end-stage cancer and might reduce the operative time in emergent situations. |
| first_indexed | 2024-04-14T00:15:27Z |
| format | Article |
| id | doaj.art-bb60e9602bac4837810a7292ebf6ad07 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-04-14T00:15:27Z |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-bb60e9602bac4837810a7292ebf6ad072022-12-22T02:23:10ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222022-08-0138431932610.3393/ac.2021.00682.00971912Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstructionYongjun Park0Dong Uk Choi1Hyung Ook Kim2Yong Bog Kim3Chungki Min4Jung Tack Son5Sung Ryol Lee6Kyung Uk Jung7Hungdai Kim8 Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaPurpose Surgery to create a stoma for decompression might be required for unresectable stage IV cancer patients with complete colonic obstruction. The aim of this study was to compare the results of blowhole colostomy with those of loop ostomy. Methods Palliative ileostomy or colostomy procedures performed at a single center between January 2011 and October 2020, were analyzed retrospectively. Fifty-nine patients were identified during this period. The demographic characteristics and outcomes between the blowhole colostomy group (n=24) and the loop ostomy group (n=35) were compared. Results The median operative time tended to be shorter in the blowhole colostomy group (52.5 minutes; interquartile range [IQR], 43–65) than in the loop ostomy group (60 minutes; IQR, 40–107), but the difference did not reach statistical significance (P=0.162). The median length of hospital stay was significantly shorter with blowhole colostomy (blowhole, 13 days [IQR, 9–23]; loop, 21 days [IQR, 14–37]; P=0.013). Mean cecum diameter was significantly larger in the blowhole group than in the loop group (8.83±1.91 cm vs. 6.78±2.36 cm, P=0.001), and the emergency operation rate was higher in the blowhole group than in the loop group (22 of 24 [91.7%] vs. 23 of 35 [65.7%], P=0.021). Conclusion In surgical emergencies, diverting a blowhole colostomy can be safe and effective for palliative management of colonic obstruction in patients with end-stage cancer and might reduce the operative time in emergent situations.http://coloproctol.org/upload/pdf/ac-2021-00682-0097.pdfileostomycecostomycolostomyintestinal obstructionpalliative care |
| spellingShingle | Yongjun Park Dong Uk Choi Hyung Ook Kim Yong Bog Kim Chungki Min Jung Tack Son Sung Ryol Lee Kyung Uk Jung Hungdai Kim Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction Annals of Coloproctology ileostomy cecostomy colostomy intestinal obstruction palliative care |
| title | Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction |
| title_full | Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction |
| title_fullStr | Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction |
| title_full_unstemmed | Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction |
| title_short | Comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction |
| title_sort | comparison of blowhole colostomy and loop ostomy for palliation of acute malignant colonic obstruction |
| topic | ileostomy cecostomy colostomy intestinal obstruction palliative care |
| url | http://coloproctol.org/upload/pdf/ac-2021-00682-0097.pdf |
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