Indications for, and outcomes on, end ileostomy revision procedures

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Hayim GilshteinSteven D Wexner

Abstract

Ileostomy complications have been reported in >70% of cases. Older studies have shown ileostomy revision to be required in between 23-38% of patients over a 5-10 years period. There is a paucity of recent data addressing ileostomy revision surgery. We aimed to review end ileostomy revisions in a tertiary centre and analyze indications, procedures performed, outcomes, and risks for such surgery. This was a retrospective review in a single institution colorectal referral practice. All patients aged ≥17 years who underwent a revision of an ileostomy at our institution from 2008-2019 were included. Indication for ileostomy revision, operative technique ("parastomal vs. "intra- abdominal") and outcomes including length of stay, re-admission rates, wound complications, medical complications and rate of stoma re-revision, were assessed. Fifty-three patients, who underwent 72 end ileostomy revision procedures, were included; 20 (27.8%) were re-revision procedures. The majority (76.4%) had their original ileostomy created for inflammatory bowel disease. Indications for ileostomy revision were stoma retraction (36.1%), prolapse (22.2%), stenosis (18.1%) and parastomal hernia (29.2%). Of stoma revisions, 55.6% were performed by a "parasto...Continue Reading

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Citations

May 15, 2021·Langenbeck's Archives of Surgery·Omar FéresRogério Serafim Parra

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