Complications associated with loop ileostomy: analysis of risk factors
Background Loop ileostomy is a common surgical procedure but is associated with complications such as outlet obstruction (OO), parastomal hernia (PH), and high-output stoma (HOS). This study aimed to identify risk factors for these complications, as well as their causal relationships. Methods The st...
Gespeichert in:
| Veröffentlicht in: | Techniques in coloproctology 2024-12, Vol.28 (1), p.60-60, Article 60 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 60 |
|---|---|
| container_issue | 1 |
| container_start_page | 60 |
| container_title | Techniques in coloproctology |
| container_volume | 28 |
| creator | Matsumoto, Yoshiko Aisu, Naoya Kajitani, Ryuji Nagano, Hideki Yoshimatsu, Gumpei Hasegawa, Suguru |
| description | Background
Loop ileostomy is a common surgical procedure but is associated with complications such as outlet obstruction (OO), parastomal hernia (PH), and high-output stoma (HOS). This study aimed to identify risk factors for these complications, as well as their causal relationships.
Methods
The study included 188 consecutive patients who underwent loop ileostomy between April 2016 and September 2021. Clinical factors and postoperative stoma-related complications (OO, HOS, and PH) were analyzed retrospectively. Stoma-related factors were evaluated using specific measurements from computed tomography (CT) scans. The incidence, clinical course, and risk factors for the stoma-related complications were investigated.
Results
OO was diagnosed in 28 cases (15.7%), PH in 60 (32%), and HOS in 57 (31.8%). A small longitudinal stoma diameter at the rectus abdominis level on CT and a right-sided stoma were significantly associated with OO. Creation of an ileostomy for anastomotic leakage was independently associated with HOS. Higher body weight and a large longitudinal stoma diameter at the rectus abdominis level on CT were significantly associated with PH. There was a significant relationship between the occurrence of OO and HOS. However, the association between OO and PH was marginal.
Conclusion
This study identified key risk factors for OO, HOS, and PH as complications of loop ileostomy and their causal relationships. Our findings provide insights that may guide the prevention and management of complications related to loop ileostomy. |
| doi_str_mv | 10.1007/s10151-024-02926-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3060748914</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3060748914</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-aa411c3a6c2bcc7cb320ed749e828a338f8e347f0b33d954e3873ce384abcc793</originalsourceid><addsrcrecordid>eNp9kEtLAzEYRYMotlb_gAsJuHEzmtdMMu6kWBUKbhTchUya0dSZpuabQfrvTR8quHCRB-Tc-4WD0Ckll5QQeQWU0JxmhIm0SlZkbA8NKWUqIyJ_2d_ceVZwLgfoCGBOCJUyp4dowJVK0TIfosk4tMvGW9P5sABsAIL1pnMz_Om7N9yEsMS-cQG60K6usVmYZgUecKhx9PCOa2O7EOEYHdSmAXeyO0foeXL7NL7Ppo93D-ObaWZZXnSZMYJSy01hWWWttBVnxM2kKJ1iynCuauW4kDWpOJ-VuXBcSW7TLsyaL_kIXWx7lzF89A463XqwrmnMwoUeNCcFkUKVVCT0_A86D31M_99RJRGCJYptKRsDQHS1XkbfmrjSlOi1Zb21rJNlvbGs16GzXXVftW72E_nWmgC-BSA9LV5d_J39T-0XDSmHcw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3060790442</pqid></control><display><type>article</type><title>Complications associated with loop ileostomy: analysis of risk factors</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><creator>Matsumoto, Yoshiko ; Aisu, Naoya ; Kajitani, Ryuji ; Nagano, Hideki ; Yoshimatsu, Gumpei ; Hasegawa, Suguru</creator><creatorcontrib>Matsumoto, Yoshiko ; Aisu, Naoya ; Kajitani, Ryuji ; Nagano, Hideki ; Yoshimatsu, Gumpei ; Hasegawa, Suguru</creatorcontrib><description>Background
Loop ileostomy is a common surgical procedure but is associated with complications such as outlet obstruction (OO), parastomal hernia (PH), and high-output stoma (HOS). This study aimed to identify risk factors for these complications, as well as their causal relationships.
Methods
The study included 188 consecutive patients who underwent loop ileostomy between April 2016 and September 2021. Clinical factors and postoperative stoma-related complications (OO, HOS, and PH) were analyzed retrospectively. Stoma-related factors were evaluated using specific measurements from computed tomography (CT) scans. The incidence, clinical course, and risk factors for the stoma-related complications were investigated.
Results
OO was diagnosed in 28 cases (15.7%), PH in 60 (32%), and HOS in 57 (31.8%). A small longitudinal stoma diameter at the rectus abdominis level on CT and a right-sided stoma were significantly associated with OO. Creation of an ileostomy for anastomotic leakage was independently associated with HOS. Higher body weight and a large longitudinal stoma diameter at the rectus abdominis level on CT were significantly associated with PH. There was a significant relationship between the occurrence of OO and HOS. However, the association between OO and PH was marginal.
Conclusion
This study identified key risk factors for OO, HOS, and PH as complications of loop ileostomy and their causal relationships. Our findings provide insights that may guide the prevention and management of complications related to loop ileostomy.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-024-02926-2</identifier><identifier>PMID: 38801595</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Anastomotic Leak - epidemiology ; Anastomotic Leak - etiology ; Colorectal Surgery ; Female ; Gastroenterology ; Health risks ; Hernias ; Humans ; Ileostomy - adverse effects ; Incidence ; Incisional Hernia - epidemiology ; Incisional Hernia - etiology ; Intestinal Obstruction - epidemiology ; Intestinal Obstruction - etiology ; Male ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Ostomy ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Proctology ; Rectus Abdominis - diagnostic imaging ; Retrospective Studies ; Risk Factors ; Surgery ; Surgical anastomosis ; Surgical outcomes ; Surgical Stomas - adverse effects ; Surgical techniques ; Tomography ; Tomography, X-Ray Computed</subject><ispartof>Techniques in coloproctology, 2024-12, Vol.28 (1), p.60-60, Article 60</ispartof><rights>Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-aa411c3a6c2bcc7cb320ed749e828a338f8e347f0b33d954e3873ce384abcc793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-024-02926-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-024-02926-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38801595$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsumoto, Yoshiko</creatorcontrib><creatorcontrib>Aisu, Naoya</creatorcontrib><creatorcontrib>Kajitani, Ryuji</creatorcontrib><creatorcontrib>Nagano, Hideki</creatorcontrib><creatorcontrib>Yoshimatsu, Gumpei</creatorcontrib><creatorcontrib>Hasegawa, Suguru</creatorcontrib><title>Complications associated with loop ileostomy: analysis of risk factors</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>Background
Loop ileostomy is a common surgical procedure but is associated with complications such as outlet obstruction (OO), parastomal hernia (PH), and high-output stoma (HOS). This study aimed to identify risk factors for these complications, as well as their causal relationships.
Methods
The study included 188 consecutive patients who underwent loop ileostomy between April 2016 and September 2021. Clinical factors and postoperative stoma-related complications (OO, HOS, and PH) were analyzed retrospectively. Stoma-related factors were evaluated using specific measurements from computed tomography (CT) scans. The incidence, clinical course, and risk factors for the stoma-related complications were investigated.
Results
OO was diagnosed in 28 cases (15.7%), PH in 60 (32%), and HOS in 57 (31.8%). A small longitudinal stoma diameter at the rectus abdominis level on CT and a right-sided stoma were significantly associated with OO. Creation of an ileostomy for anastomotic leakage was independently associated with HOS. Higher body weight and a large longitudinal stoma diameter at the rectus abdominis level on CT were significantly associated with PH. There was a significant relationship between the occurrence of OO and HOS. However, the association between OO and PH was marginal.
Conclusion
This study identified key risk factors for OO, HOS, and PH as complications of loop ileostomy and their causal relationships. Our findings provide insights that may guide the prevention and management of complications related to loop ileostomy.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anastomotic Leak - epidemiology</subject><subject>Anastomotic Leak - etiology</subject><subject>Colorectal Surgery</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Health risks</subject><subject>Hernias</subject><subject>Humans</subject><subject>Ileostomy - adverse effects</subject><subject>Incidence</subject><subject>Incisional Hernia - epidemiology</subject><subject>Incisional Hernia - etiology</subject><subject>Intestinal Obstruction - epidemiology</subject><subject>Intestinal Obstruction - etiology</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Proctology</subject><subject>Rectus Abdominis - diagnostic imaging</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Surgical anastomosis</subject><subject>Surgical outcomes</subject><subject>Surgical Stomas - adverse effects</subject><subject>Surgical techniques</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEYRYMotlb_gAsJuHEzmtdMMu6kWBUKbhTchUya0dSZpuabQfrvTR8quHCRB-Tc-4WD0Ckll5QQeQWU0JxmhIm0SlZkbA8NKWUqIyJ_2d_ceVZwLgfoCGBOCJUyp4dowJVK0TIfosk4tMvGW9P5sABsAIL1pnMz_Om7N9yEsMS-cQG60K6usVmYZgUecKhx9PCOa2O7EOEYHdSmAXeyO0foeXL7NL7Ppo93D-ObaWZZXnSZMYJSy01hWWWttBVnxM2kKJ1iynCuauW4kDWpOJ-VuXBcSW7TLsyaL_kIXWx7lzF89A463XqwrmnMwoUeNCcFkUKVVCT0_A86D31M_99RJRGCJYptKRsDQHS1XkbfmrjSlOi1Zb21rJNlvbGs16GzXXVftW72E_nWmgC-BSA9LV5d_J39T-0XDSmHcw</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Matsumoto, Yoshiko</creator><creator>Aisu, Naoya</creator><creator>Kajitani, Ryuji</creator><creator>Nagano, Hideki</creator><creator>Yoshimatsu, Gumpei</creator><creator>Hasegawa, Suguru</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20241201</creationdate><title>Complications associated with loop ileostomy: analysis of risk factors</title><author>Matsumoto, Yoshiko ; Aisu, Naoya ; Kajitani, Ryuji ; Nagano, Hideki ; Yoshimatsu, Gumpei ; Hasegawa, Suguru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-aa411c3a6c2bcc7cb320ed749e828a338f8e347f0b33d954e3873ce384abcc793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anastomotic Leak - epidemiology</topic><topic>Anastomotic Leak - etiology</topic><topic>Colorectal Surgery</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Health risks</topic><topic>Hernias</topic><topic>Humans</topic><topic>Ileostomy - adverse effects</topic><topic>Incidence</topic><topic>Incisional Hernia - epidemiology</topic><topic>Incisional Hernia - etiology</topic><topic>Intestinal Obstruction - epidemiology</topic><topic>Intestinal Obstruction - etiology</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Proctology</topic><topic>Rectus Abdominis - diagnostic imaging</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery</topic><topic>Surgical anastomosis</topic><topic>Surgical outcomes</topic><topic>Surgical Stomas - adverse effects</topic><topic>Surgical techniques</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsumoto, Yoshiko</creatorcontrib><creatorcontrib>Aisu, Naoya</creatorcontrib><creatorcontrib>Kajitani, Ryuji</creatorcontrib><creatorcontrib>Nagano, Hideki</creatorcontrib><creatorcontrib>Yoshimatsu, Gumpei</creatorcontrib><creatorcontrib>Hasegawa, Suguru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsumoto, Yoshiko</au><au>Aisu, Naoya</au><au>Kajitani, Ryuji</au><au>Nagano, Hideki</au><au>Yoshimatsu, Gumpei</au><au>Hasegawa, Suguru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications associated with loop ileostomy: analysis of risk factors</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>28</volume><issue>1</issue><spage>60</spage><epage>60</epage><pages>60-60</pages><artnum>60</artnum><issn>1123-6337</issn><eissn>1128-045X</eissn><abstract>Background
Loop ileostomy is a common surgical procedure but is associated with complications such as outlet obstruction (OO), parastomal hernia (PH), and high-output stoma (HOS). This study aimed to identify risk factors for these complications, as well as their causal relationships.
Methods
The study included 188 consecutive patients who underwent loop ileostomy between April 2016 and September 2021. Clinical factors and postoperative stoma-related complications (OO, HOS, and PH) were analyzed retrospectively. Stoma-related factors were evaluated using specific measurements from computed tomography (CT) scans. The incidence, clinical course, and risk factors for the stoma-related complications were investigated.
Results
OO was diagnosed in 28 cases (15.7%), PH in 60 (32%), and HOS in 57 (31.8%). A small longitudinal stoma diameter at the rectus abdominis level on CT and a right-sided stoma were significantly associated with OO. Creation of an ileostomy for anastomotic leakage was independently associated with HOS. Higher body weight and a large longitudinal stoma diameter at the rectus abdominis level on CT were significantly associated with PH. There was a significant relationship between the occurrence of OO and HOS. However, the association between OO and PH was marginal.
Conclusion
This study identified key risk factors for OO, HOS, and PH as complications of loop ileostomy and their causal relationships. Our findings provide insights that may guide the prevention and management of complications related to loop ileostomy.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>38801595</pmid><doi>10.1007/s10151-024-02926-2</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1123-6337 |
| ispartof | Techniques in coloproctology, 2024-12, Vol.28 (1), p.60-60, Article 60 |
| issn | 1123-6337 1128-045X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3060748914 |
| source | MEDLINE; Springer Online Journals Complete |
| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Anastomotic Leak - epidemiology Anastomotic Leak - etiology Colorectal Surgery Female Gastroenterology Health risks Hernias Humans Ileostomy - adverse effects Incidence Incisional Hernia - epidemiology Incisional Hernia - etiology Intestinal Obstruction - epidemiology Intestinal Obstruction - etiology Male Medical diagnosis Medicine Medicine & Public Health Middle Aged Original Article Ostomy Postoperative Complications - epidemiology Postoperative Complications - etiology Proctology Rectus Abdominis - diagnostic imaging Retrospective Studies Risk Factors Surgery Surgical anastomosis Surgical outcomes Surgical Stomas - adverse effects Surgical techniques Tomography Tomography, X-Ray Computed |
| title | Complications associated with loop ileostomy: analysis of risk factors |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T14%3A38%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Complications%20associated%20with%20loop%20ileostomy:%20analysis%20of%20risk%20factors&rft.jtitle=Techniques%20in%20coloproctology&rft.au=Matsumoto,%20Yoshiko&rft.date=2024-12-01&rft.volume=28&rft.issue=1&rft.spage=60&rft.epage=60&rft.pages=60-60&rft.artnum=60&rft.issn=1123-6337&rft.eissn=1128-045X&rft_id=info:doi/10.1007/s10151-024-02926-2&rft_dat=%3Cproquest_cross%3E3060748914%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3060790442&rft_id=info:pmid/38801595&rfr_iscdi=true |