Loop ileostomy versus loop colostomy for defunctioning low anastomoses during rectal cancer surgery

World Journal of Surgery
E RullierJ Saric

Abstract

Several studies have compared loop ileostomy with loop colostomy to defunction colorectal anastomoses. The discordant results may be due to the heterogeneity of the indications. We therefore performed a retrospective study to compare the two procedures in a homogeneous group of patients operated on electively for rectal cancer. Among 462 consecutive patients undergoing rectal resection for cancer during 1986-1998, 60 had a loop colostomy and 107 a loop ileostomy to defunction a low anastomosis. The two groups were similar with respect to age, gender, obesity, tumor stage, and duration before closure (109 vs. 104 days; p = 0.28). All the stoma-related complications that occurred after construction and after closure of the stoma were recorded. There were no stoma-related deaths in the two groups. After stoma construction, the morbidity rate was significantly higher following loop colostomy than after loop ileostomy (35% vs. 19%; p = 0.02). After stoma closure the complication rate was significantly higher in the colostomy group than in the ileostomy group (34% vs. 12%; p = 0.004). The risk of surgical reintervention related to the morbidity of both construction and closure of the stoma was twice as high after loop colostomy than ...Continue Reading

Citations

Feb 18, 2009·International Journal of Colorectal Disease·Andre ChowSanjay Purkayastha
Dec 25, 2010·International Journal of Colorectal Disease·Nicole Beck-KaltenbachBernhard Rumstadt
Mar 13, 2009·Surgery Today·Panagiotis TaflampasDimitrios D Tsiftsis
Apr 7, 2006·Diseases of the Colon and Rectum·Andreas ThalheimerDetlef Meyer
Aug 10, 2006·Diseases of the Colon and Rectum·Rodrigo Oliva PerezJoaquim Gama-Rodrigues
Nov 30, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Dana M HaydenTheodore J Saclarides
Oct 19, 2012·Cell Biochemistry and Biophysics·Hai GongYong Yao
Oct 21, 2004·Best Practice & Research. Clinical Gastroenterology·W M Chambers, N J McC Mortensen
Aug 1, 2004·Clinics in Colon and Rectal Surgery·Nancy N Baxter
Nov 18, 2011·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Claire Taylor, Sarah Varma
Jun 19, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M CaricatoR Coppola
Jul 17, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J Shabbir, D C Britton
Aug 17, 2004·Digestive Surgery·R BakxJ J B van Lanschot
Oct 26, 2005·International Seminars in Surgical Oncology : ISSO·Gary AtkinIan C Mitchell
Oct 3, 2013·Annals of Surgical Oncology·Uma R PhatakGeorge J Chang
Nov 28, 2013·Surgical Endoscopy·Deborah S KellerConor P Delaney
Nov 26, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Bryan Joost Marinus van de WallEsther C J Consten
Jul 21, 2006·World Journal of Surgery·Herwig PokornyFriedrich Herbst
Mar 14, 2007·World Journal of Surgery·Henry S TilneyParis P Tekkis
Mar 1, 2012·World Journal of Surgery·Aneel BhanguUNKNOWN West Midlands Research Collaborative
Oct 21, 2010·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C D KlinkM Jansen
Mar 22, 2013·Scandinavian Journal of Gastroenterology·Jie ChenSu-Jun Zhou
Nov 27, 2004·Asian Journal of Surgery·Panuwat Lertsithichai, Pudsaporn Rattanapichart
Nov 28, 2012·The Surgical Clinics of North America·Andrea C Bafford, Jennifer L Irani
Jan 16, 2010·Cirugía española·Gloria Tadeo-RuizMaría-Luz Herrero-Bogajo
Nov 27, 2007·Surgical Oncology·Giuseppe PappalardoFabrizio Maria Frattaroli
Jul 6, 2005·The British Journal of Surgery·I GastingerUNKNOWN Working Group 'Colon/Rectum Carcinoma'
Jul 11, 2003·The British Journal of Surgery·P W G CarneF A Frizelle
Apr 17, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S NurkinH I Tiszenkel
Sep 16, 2010·ANZ Journal of Surgery·Basil B D'SouzaJohn Beer
Nov 1, 2005·Journal of the American College of Surgeons·Orit Kaidar-PersonSteven D Wexner
Feb 5, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·W BugiantellaE Mariani
Mar 10, 2015·Diseases of the Colon and Rectum·Samantha HendrenJanice Rafferty
Oct 3, 2015·Journal of Controlled Release : Official Journal of the Controlled Release Society·Xishan ChenWeiyue Lu
Dec 9, 2010·Arquivos De Gastroenterologia·Rone Antônio Alves de AbreuDelcio Matos
May 11, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F De HaesS A Antoniou
May 22, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Benjamin D ShoganKonstantin Umanskiy
Mar 13, 2014·Diseases of the Colon and Rectum·Uma R PhatakLillian S Kao
Dec 12, 2003·Diseases of the Colon and Rectum·Roel BakxJ Jan B van Lanschot

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.