ArticleTechniques in coloproctology2017
Factors associated with hospital readmission following diverting ileostomy creation.
Article in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Overall readmissions and readmissions related to dehydration after creation of an ileostomy: a systematic review and meta-analysis.Techniques in coloproctology · 2022Pooled it
- Italian guidelines for the surgical management of enteral stomas in adults.Techniques in coloproctology · 2019Guideline
- Managing the aftermath: complications and outcome after colorectal resection for deep infiltrating endometriosis-insights from a certified surgical endoscopy center.Scientific reports · 2026Article
- Article
- Analysis of decision-making factors for defunctioning ileostomy after rectal cancer surgery and their impact on perioperative recovery: a retrospective study of 1082 patients.Surgical endoscopy · 2024Article
- Local excision vs. proctectomy in patients with ypT0-1 rectal cancer following neoadjuvant therapy: a propensity score matched analysis of the National Cancer Database.Techniques in coloproctology · 2024Observational
- Impact of ileostomy in the adjuvant treatment and outcome of colon cancer.International journal of colorectal disease · 2023Observational
- Readmission with acute kidney injury following ileostomy: patterns and predictors of a common phenomenon.Langenbeck's archives of surgery · 2023Article
- Obstructive and secretory complications of diverting ileostomy.World journal of gastroenterology · 2022Review
- Defining Anastomotic Leak and the Clinical Relevance of Leaks.Clinics in colon and rectal surgery · 2021Review
- Comparison of Diversion Strategies for Management of Acute Complicated Diverticulitis in a US Nationwide Cohort.JAMA network open · 2021Article
- Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study.Scientific reports · 2021Article
- When should we add a diverting loop ileostomy to laparoscopic ileocolic resection for primary Crohn's disease?Surgical endoscopy · 2021Article
- Readmission after rectal resection in the ERAS-era: is a loop ileostomy the Achilles heel?BMC surgery · 2021Article
- Risk Factors for Readmission after Ileostomy Creation: an NSQIP Database Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- The Relationship Between High-Output Stomas, Postoperative Ileus, and Readmission After Rectal Cancer Surgery With Diverting Ileostomy.Annals of coloproctology · 2021Article
- The association of age with decline in renal function after low anterior resection and loop ileostomy for rectal cancer: a retrospective cohort prognostic factor study.BMC geriatrics · 2021Article
- Can we better predict readmission for dehydration following creation of a diverting loop ileostomy: development and validation of a prediction model and web-based risk calculator.Surgical endoscopy · 2020Article
- Journey for patients following ileostomy creation is not straightforward.International journal of colorectal disease · 2019Article
- Early ileostomy reversal after minimally invasive surgery and ERAS program for mid and low rectal cancer.Updates in surgery · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe creation of a diverting loop ileostomy is associated with the risk of readmission due to stoma-related complications. We hypothesized that the assessment of our institution-specific readmissions following ileostomy creation would help identifying at-risk groups which should be the focus of future preventative strategies.
methodsPatients who underwent loop ileostomy formation from 2009 to 2013 were reviewed. We evaluated readmissions within 30 days after discharge following loop ileostomy construction. Possible associations between readmission and demographic, disease-related and treatment-related factors were assessed using univariate and multivariate analyses.
resultsOut of 1267 patients undergoing loop ileostomy construction, 163 patients (12.9%) were readmitted. The main causes of readmissions were organ/space infections (43, 3.4%), small bowel obstruction/ileus (42, 3.3%) and dehydration (38, 3%). Independent factors associated with overall readmission were cardiovascular (OR = 2.0) and renal comorbidity (OR = 2.9), preoperative chemo/radiotherapy (OR = 4.0), laparoscopic approach (OR = 1.7) and longer operative time (OR = 1.2). Cancer diagnosis was associated with reduced readmission rates (OR = 0.2). Independent factors associated with readmission due to dehydration were chemo/radiotherapy (OR = 4.7) and laparoscopic approach (OR = 2.6).
conclusionsDehydration associated with diverting ileostomy creation was relevant as an individual cause of readmission, but its overall incidence was relatively rare. Dedicated strategies to prevent dehydration should be directed to patients who received chemoradiotherapy and/or laparoscopic surgery.
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