Ileostomy formation does not prolong hospital length of stay after open anterior resection when performed within an enhanced recovery programme

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
S HignettC J Walsh

Abstract

Previous studies have implicated stoma formation as an independent factor prolonging length of stay (LOS) after colorectal surgery. We examined whether loop ileostomy (LI) formation during an open anterior resection affected LOS within a newly developed enhanced recovery programme (ERP). This involved reorganization of services, including stoma care, to optimize pre- and perioperative patient education, training and expectation, while applying the standard scientific principles of enhanced recovery. Data were collected prospectively on 72 consecutive open anterior resections (33 with LI) to see whether LI affected LOS. Stomas were fashioned at the surgeon's discretion and patients were discharged according to agreed criteria. Thirty-three of the 72 patients had a covering LI performed. The overall age range was 32-85 years (median 68), with 40 patients being men. LOS for all 72 patients ranged from 3 to 34 days. The median and mean LOS were the same for both groups (median 6 days, mean 8 days). The complication rate was 44% (32/72) with a leak rate of 7% (5/72) and a mortality of 1.4% (1/72). Between the two groups (no ileostomy vs ileostomy), there was no statistically significant difference in complications (41%vs 48%), leaka...Continue Reading

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Citations

Apr 12, 2011·Langenbeck's Archives of Surgery·Nino GullàGiuseppe Noya
Nov 19, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C E BoulindN K Francis
May 19, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N J SmartN K Francis
May 17, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J van DellenA B Williams
Feb 11, 2020·Current Gastroenterology Reports·Michele CarvelloAntonino Spinelli
Jul 6, 2013·Annals of the Royal College of Surgeons of England·S MukhtarM J A Perry
Mar 10, 2015·Diseases of the Colon and Rectum·Samantha HendrenJanice Rafferty
Nov 8, 2014·Diseases of the Colon and Rectum·Joshua A TylerMatthew G Mutch
May 4, 2020·International Journal of Colorectal Disease·Si-Da SunQing-Liang He
Oct 31, 2021·Current Gastroenterology Reports·Michele CarvelloAntonino Spinelli

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