ArticleAnnals of gastroenterological surgery2017
Risk factors of small bowel obstruction following total proctocolectomy and ileal pouch anal anastomosis with diverting loop-ileostomy for ulcerative colitis.
Article in Annals of gastroenterological surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Risk factors for stoma outlet obstruction: systematic review and meta-analysis.Langenbeck's archives of surgery · 2025Pooled it
- Is diversion free ileal pouch-anal anastomosis a safe procedure? A meta-analysis of 4973 cases.International journal of colorectal disease · 2021Pooled it
- A network meta-analysis comparing laparoscopic, open and robotic restorative proctocolectomy with ileal pouch-anal anastomosis [IPAA].Updates in surgery · 2026Article
- Patient-related risk factors for outlet obstruction in diverting loop ileostomy following minimally invasive rectal cancer surgery.Techniques in coloproctology · 2025Article
- Article
- Long-term bowel function following delayed coloanal anastomosis: Analysis of a multicentric cohort study (GRECCAR).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Complications associated with loop ileostomy: analysis of risk factors.Techniques in coloproctology · 2024Article
- Drug Repurposing in Crohn's Disease Using Danish Real-World Data.Pragmatic and observational research · 2024Article
- Risk Factors for Stoma Outlet Obstruction after Proctocolectomy for Ulcerative Colitis.Journal of the anus, rectum and colon · 2024Article
- Surgical management of ostomy complications: a MISSTO-WSES mapping review.World journal of emergency surgery : WJES · 2023Review
- Review
- Obstructive and secretory complications of diverting ileostomy.World journal of gastroenterology · 2022Review
- Risk Factors for Stoma Outlet Obstruction: Preventing This Complication after Construction of Diverting Ileostomy during Laparoscopic Colorectal Surgery.JMA journal · 2022Article
- Long Distance Between the Superior Mesenteric Artery Root and Bottom of the External Anal Sphincter Is a Risk Factor for Stoma Outlet Obstruction After Total Proctocolectomy and Ileal-Pouch Anal Anastomosis for Ulcerative Colitis.Annals of gastroenterological surgery · 2022Article
- Risk Factors for Outlet Obstruction in Patients with Diverting Ileostomy Following Rectal Surgery.Journal of the anus, rectum and colon · 2021Article
- Risk factors for postoperative stoma outlet obstruction in ulcerative colitis.World journal of gastrointestinal surgery · 2020Article
- Organ/space infection is a common cause of high output stoma and outlet obstruction in diverting ileostomy.BMC surgery · 2020Article
- Elevated risk of stoma outlet obstruction following colorectal surgery in patients undergoing ileal pouch-anal anastomosis: a retrospective cohort study.Surgery today · 2018Article
- The risk factors for benign small bowel obstruction following curative resection in patients with rectal cancer.World journal of surgical oncology · 2018Article
- A Common Complication After an Ileal Pouch-Anal Anastomosis With a Loop Ileostomy in Patients With Ulcerative Colitis: Small Bowel Obstruction.Annals of coloproctology · 2018Article
Corrections and comments
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Authors and funding
9 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Small bowel obstruction (SBO) often occurs after total proctocolectomy and ileal pouch anal anastomosis with diverting loop-ileostomy for ulcerative colitis. Little is known about the association between SBO and surgical procedures for diverting loop-ileostomy. We conducted a multicenter, retrospective questionnaire survey. Unlinkable anonymized data on ileostomy procedures and ileostomy-related complications including SBO were collected from institutions specializing in surgery for inflammatory bowel disease. In total, 515 patients undergoing total proctocolectomy and ileal pouch anal anastomosis with loop-ileostomy among 1022 patients with ulcerative colitis undergoing surgery during a 3-year period between 2012 and 2014 were analyzed. Twenty-nine patients without information on complications were excluded. Incidence of ileostomy-related complications and factors associated with the development of small bowel obstruction were determined in 486 patients. The most common complications were parastomal dermatitis (n=169, 34.8%), SBO (n=111, 22.8%), mucocutaneous dehiscence (n=59, 12.1%), stoma prolapse (n=21, 4.3%), parastomal hernia (n=12, 2.5%), and stoma retraction (n=11, 2.3%). Incidence of small bowel obstruction was significantly higher in patients with distance from the ileal pouch to the ileostomy of less than 30 cm and in patients undergoing laparoscopic surgery. Procedures for diverting loop-ileostomy after surgery for ulcerative colitis varied among institutions. Incidence of small bowel obstruction was high after total proctocolectomy and ileal pouch anal anastomosis with diverting loop-ileostomy. Shorter distance between the pouch and the stoma and the laparoscopic surgery were risk factors for SBO in univariate analysis.
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