The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer
This is a multi-center retrospective study of patients underwent low anterior resection for rectal cancer. Ileostomy had been done to protect low lying Colo-rectal anastomosis, closure of ileostomy had been delayed in some patients due to patient own will, surgical complications (anastomotic leak) o...
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| Format: | Article |
| Language: | English |
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Sulaimani Polytechnic University
2021-08-01
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| Series: | Kurdistan Journal of Applied Research |
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| Online Access: | https://kjar.spu.edu.iq/index.php/kjar/article/view/633 |
| _version_ | 1797197701794758656 |
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| author | Hemn Hussain Kaka Ali Qalandar Hussein Abdulkarim Karzan Seerwan Barham M. M .Salih Omar H Ghalib Hawramy Dara Ahmed Mohammed Syamand Orhaman Ahmed |
| author_facet | Hemn Hussain Kaka Ali Qalandar Hussein Abdulkarim Karzan Seerwan Barham M. M .Salih Omar H Ghalib Hawramy Dara Ahmed Mohammed Syamand Orhaman Ahmed |
| author_sort | Hemn Hussain Kaka Ali |
| collection | DOAJ |
| description | This is a multi-center retrospective study of patients underwent low anterior resection for rectal cancer. Ileostomy had been done to protect low lying Colo-rectal anastomosis, closure of ileostomy had been delayed in some patients due to patient own will, surgical complications (anastomotic leak) or coarse of chemotherapy. This study aimed to find the effect of temporary ileostomy on post-operative bowel defunction which is called Low anterior resection syndrome (LARS), and include; urgency, difficulty in emptying of bowel, and incontinence for feces and flatus. A total of 50 patients included in this study, the age ranges from the 19 to 80 years old with a mean age of 51.96 years. The total number of males was (33, %66). Majority of patients were overweight (21, 42%). The distance of tumors from the anal verge were less than 10 cm in (31,62%). The mean duration of fecal diversion was 7.17 months. Loop ileostomy were closed before six months in (27,54%). The mean duration of diversion of patients developed no LARS was 6.87 months which is shorter than those of developed LARS (7.31). Lower BMI patients are more prone to develop LARS, while Obese patients are more susceptible to develop major LARS. Nineteen cases developed LARS among those patient’s ileostomy closed before six months, and 15 cases developed LARS in those ileostomies closed after six months.
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| first_indexed | 2024-03-07T14:11:10Z |
| format | Article |
| id | doaj.art-decc2c3c1ed74f938f59c6092a748bce |
| institution | Directory Open Access Journal |
| issn | 2411-7684 2411-7706 |
| language | English |
| last_indexed | 2024-04-24T06:48:09Z |
| publishDate | 2021-08-01 |
| publisher | Sulaimani Polytechnic University |
| record_format | Article |
| series | Kurdistan Journal of Applied Research |
| spelling | doaj.art-decc2c3c1ed74f938f59c6092a748bce2024-04-22T17:18:57ZengSulaimani Polytechnic UniversityKurdistan Journal of Applied Research2411-76842411-77062021-08-016110.24017/science.2021.1.13633The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancerHemn Hussain Kaka Ali0Qalandar Hussein Abdulkarim1Karzan Seerwan2Barham M. M .Salih3Omar H Ghalib Hawramy4Dara Ahmed Mohammed5Syamand Orhaman Ahmed6Kurdistan Center for Gastroenterology &Hepatology Sulaimani, Sulaimani, IraqHigh quality Anwar Shexa hospital, Zagros Str, Sulaimani ,IraqDepartment of surgery, College of medicine Faculty of Medical Sciences, University of Sulaimani, Sulaimani, IraqDepartment of surgery, College of medicine Faculty of Medical Sciences, University of Sulaimani, Sulaimani, Iraq.1. Smart Health Tower, Madam Mitterrand Str, Sulaimani , Iraq. 2. Kurdistan Center for Gastroenterology &Hepatology Sulaimani, Iraq.Department of surgery, College of medicine Faculty of Medical Sciences, University of Sulaimani, Sulaimani, Iraq.Kurdistan Center for Gastroenterology &Hepatology Sulaimani, IraqThis is a multi-center retrospective study of patients underwent low anterior resection for rectal cancer. Ileostomy had been done to protect low lying Colo-rectal anastomosis, closure of ileostomy had been delayed in some patients due to patient own will, surgical complications (anastomotic leak) or coarse of chemotherapy. This study aimed to find the effect of temporary ileostomy on post-operative bowel defunction which is called Low anterior resection syndrome (LARS), and include; urgency, difficulty in emptying of bowel, and incontinence for feces and flatus. A total of 50 patients included in this study, the age ranges from the 19 to 80 years old with a mean age of 51.96 years. The total number of males was (33, %66). Majority of patients were overweight (21, 42%). The distance of tumors from the anal verge were less than 10 cm in (31,62%). The mean duration of fecal diversion was 7.17 months. Loop ileostomy were closed before six months in (27,54%). The mean duration of diversion of patients developed no LARS was 6.87 months which is shorter than those of developed LARS (7.31). Lower BMI patients are more prone to develop LARS, while Obese patients are more susceptible to develop major LARS. Nineteen cases developed LARS among those patient’s ileostomy closed before six months, and 15 cases developed LARS in those ileostomies closed after six months. https://kjar.spu.edu.iq/index.php/kjar/article/view/633Stoma closure; Low anterior resection; Low anterior resection syndrome; Rectal cancer; Colon cancer; Radiotherapy |
| spellingShingle | Hemn Hussain Kaka Ali Qalandar Hussein Abdulkarim Karzan Seerwan Barham M. M .Salih Omar H Ghalib Hawramy Dara Ahmed Mohammed Syamand Orhaman Ahmed The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer Kurdistan Journal of Applied Research Stoma closure; Low anterior resection; Low anterior resection syndrome; Rectal cancer; Colon cancer; Radiotherapy |
| title | The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer |
| title_full | The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer |
| title_fullStr | The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer |
| title_full_unstemmed | The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer |
| title_short | The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer |
| title_sort | effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer |
| topic | Stoma closure; Low anterior resection; Low anterior resection syndrome; Rectal cancer; Colon cancer; Radiotherapy |
| url | https://kjar.spu.edu.iq/index.php/kjar/article/view/633 |
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