ArticleSurgery today2017
The influence of specific technical maneuvers utilized in the creation of diverting loop-ileostomies on stoma-related morbidity.
Article in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 31 citations in OpenAlex.
- Association of chemotherapy and stoma features with peristomal skin disorders in rectal cancer patients.Scientific reports · 2025Observational
- Systematic review and meta-analysis comparing extraperitoneal and transperitoneal routes of colostomy-related complications.World journal of gastrointestinal surgery · 2025Article
- Risk factors and risk prediction model for mucocutaneous separation in enterostomy patients: A single center experience.World journal of clinical cases · 2024Article
- Article
- Surgical management of ostomy complications: a MISSTO-WSES mapping review.World journal of emergency surgery : WJES · 2023Review
- Essential updates 2020/2021: Advancing precision medicine for comprehensive rectal cancer treatment.Annals of gastroenterological surgery · 2023Review
- Prolapse of intestinal stoma.Annals of coloproctology · 2022Review
- Risk factors for peristomal skin disorders associated with temporary ileostomy construction.Surgery today · 2021Article
- A novel technique for superficial complicated stomas using the Dacron vascular prosthesis.Langenbeck's archives of surgery · 2021Article
- Enhanced recovery after surgery nursing program, a protective factor for stoma-related complications in patients with low rectal cancer.BMC surgery · 2020Article
- Evaluation of negative-pressure wound therapy for surgical site infections after ileostomy closure in colorectal cancer patients: a prospective multicenter study.Surgery today · 2020Article
- Frequency and Complications of Ileostomy.Cureus · 2020Article
- Risk factors for the incidence and severity of peristomal skin disorders defined using two scoring systems.Surgery today · 2020Article
- Current Management of Intestinal Stomas and Their Complications.Journal of the anus, rectum and colon · 2020Review
- Factors predictive of high-output ileostomy: a retrospective single-center comparative study.Surgery today · 2019Article
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe association between technical maneuvers in fashioning a diverting loop-ileostomy and stoma-related complications remains unclear. Thus, this study aimed to evaluate their relevance to stoma-related morbidity.
methodsThis retrospective multicenter study was designed to collect data from 37 institutions. We evaluated the perioperative outcomes of consecutive patients who underwent surgery to create a diverting loop-ileostomy in 2013.
resultsA total of 4137 patients with colorectal disease underwent colorectomy, 279 of whom received an ileostomy. The results of these 279 patients were analyzed. The most common complications were parastomal dermatitis (n = 132) followed by ileus (n = 36), mucocutaneous separation (n = 24), parastomal hernia (n = 16), stoma retraction (n = 15), and stoma prolapse (n = 9). The technical maneuvers used in the creation of ileostomies were heterogeneous and some had a great deal of relevance to the complications. A long distance from the ileocecal valve to the ileostomy was associated with a low risk of stoma retraction and a high risk of ileus. Additionally, the height of the distal limb of the ileostomy significantly affected the incidence of parastomal dermatitis and mucocutaneous separation.
conclusionsSpecific technical maneuvers that are utilized in the creation of diverting loop-ileostomies had a significant influence on the incidence of stoma-related morbidities. Our findings emphasize the possibility of minimizing stoma-related complications with appropriate surgical techniques.
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