ArticleEuropean journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology2016
The effect of diverting stoma on long-term morbidity and risk for permanent stoma after low anterior resection for rectal cancer.
Article in European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- A meta-analysis of the role of diverting ileostomy after rectal cancer surgery.International journal of colorectal disease · 2021Pooled it
- Can weBMJ open · 2017Trial
- Machine learning-based prediction of permanent ileostomy in older adults after laparoscopic anterior resection for rectal cancer.Asia-Pacific journal of oncology nursing · 2025Article
- Patient selection and operative strategies for laparoscopic intersphincteric resection without diverting stoma.World journal of gastrointestinal surgery · 2025Article
- Defunctioning stoma in anterior resection for rectal cancer does not impact anastomotic leakage: a national population-based cohort study.BMC surgery · 2023Article
- Effective initial management of anastomotic leak in the maintenance of functional colorectal or coloanal anastomosis.Surgery today · 2023Article
- [Comparison of protective colostomy vs. ileostomy in rectal cancer surgery].Revista medica del Instituto Mexicano del Seguro Social · 2023Observational
- Impact of a diverting ileostomy in total mesorectal excision with primary anastomosis for rectal cancer.Surgical endoscopy · 2023Article
- The impact of postoperative complications severity on stoma reversal following sphincter-preserving surgery for rectal cancer.Langenbeck's archives of surgery · 2022Article
- Endoscopic vacuum-assisted surgical closure (EVASC) of anastomotic defects after low anterior resection for rectal cancer; lessons learned.Surgical endoscopy · 2022Article
- Long-term stoma-related reinterventions after anterior resection for rectal cancer with or without anastomosis: population data from the Dutch snapshot study.Techniques in coloproctology · 2022Article
- Assessment of the risk of permanent stoma after low anterior resection in rectal cancer patients.World journal of surgical oncology · 2020Article
- Risk factors of stoma re-creation after closure of diverting ileostomy in patients with rectal cancer who underwent low anterior resection or intersphincteric resection with loop ileostomy.Annals of surgical treatment and research · 2018Article
- Magnetic Resonance Guided Radiotherapy for Rectal Cancer: Expanding Opportunities for Non-Operative Management.Cancer control : journal of the Moffitt Cancer CenterReview
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4 authors at 2 institutions in 1 country.
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Abstract
backgroundAnastomotic leakage (AL) is a severe complication after low anterior resection (LAR) in rectal cancer surgery. A diverting loop ileostomy has been reported to reduce early clinical AL and thereby decrease short-term morbidity. Less is known if long-term morbidity is affected by a loop ileostomy constructed at LAR.
methodsAt Ersta Hospital, Sweden, 287 consecutive patients were operated on with LAR, 2002-2011. Follow-up time was 3 years after LAR. Due to a shift in routines, 15% were diverted at LAR, 2002-2006 and 91%, 2007-2011. Data on long-term morbidity and permanent stoma in patients with or without a diversion at primary surgery were compared.
resultsDuring LAR, 139 patients were diverted (S+), 148 were not (S-). Total rate of AL, both early and late, was 26% in S+ and 30% in S-, p 0.25. Late AL (>30 days after LAR) was found in 6% and 15% were readmitted in the late postoperative period with no difference between the groups. Total length of hospital stay (30 days-3 years after LAR) was longer among S+ compared to S-, mean 7 vs. 4 days (p < 0.001). One out of six ended up with a permanent stoma (17% S+, 14% S-, p 0.47). Clinical AL was an independent risk factor and the most common cause for a permanent stoma in both groups.
conclusionA diverting loop ileostomy at LAR did not reduce long-term morbidity but was associated with a longer total length of hospital stay during a 3-year follow up.
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