ArticleSurgery today2017
Risk factors for complications after diverting ileostomy closure in patients who have undergone rectal cancer surgery.
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 7 papers.
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Who cites it
7 citing papers in PubMed.
- Timing and morbidity of loop ileostomy closure after rectal cancer resection: a prospective observational multicentre snapshot study from Multidisciplinary Italian Study group for STOmas (MISSTO).International journal of colorectal disease · 2025Observational
- Increased risk of postoperative complications after delayed stoma reversal: a multicenter retrospective cohort study on patients undergoing anterior resection for rectal cancer.International journal of colorectal disease · 2025Article
- Predictors of complications after prophylactic ileostomy reversal for rectal cancer: A retrospective study.World journal of gastrointestinal surgery · 2024Article
- Prognostic factors for complications after loop ileostomy reversal.Techniques in coloproctology · 2022Article
- One-stitch method vs. traditional method of protective loop ileostomy for rectal cancer: the impact of BMI obesity.Journal of cancer research and clinical oncology · 2021Article
- Early postoperative outcomes of diverting loop ileostomy closure surgery following laparoscopic versus open colorectal surgery.Surgical endoscopy · 2021Article
- A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure.Surgery today · 2021Article
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Authors and funding
7 authors.
Funding
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Abstract
purposeTo clarify the risk factors for complications after diverting ileostomy closure in patients who have undergone rectal cancer surgery.
methodsThe study group comprised 240 patients who underwent a diverting ileostomy at the time of lower anterior resection or internal anal sphincter resection, in our department, between 2004 and 2015. Univariate and multivariate analyses of 18 variables were performed to establish which of these are risk factors for postoperative complications.
resultsThe most common complications were intestinal obstruction and wound infection. Univariate analysis showed that an age of 72 years or older (p = 0.0028), an interval between surgery and closure of 6 months or longer (p = 0.0049), and an operation time of 145 min or longer (p = 0.0293) were significant risk factors for postoperative complications. Multivariate analysis showed that age (odds ratio, 3.4236; p = 0.0025), the interval between surgery and closure (odds ratio, 3.4780; p = 0.0039), and operation time (odds 2.5179; p = 0.0260) were independent risk factors.
conclusionsAge, interval between surgery and closure, and operation time were independent risk factors for postoperative complications after diverting ileostomy closure. Thus, temporary ileostomy closure should be performed within 6 months after surgery for rectal cancer.
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