ArticleSurgery today2019
Factors predictive of high-output ileostomy: a retrospective single-center comparative study.
Article in Surgery today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis: loop ileostomy versus colostomy to prevent complications of anterior resection for rectal cancer.International journal of colorectal disease · 2024Pooled it
- Risk factors and prediction model for early high-output stoma after colorectal cancer surgery: A retrospective study.Asia-Pacific journal of oncology nursing · 2026Article
- Prospective Evaluation of Individualized Nutrition Support on the Incidence of High-Output Ileostomy.Nutrients · 2026Article
- Long-term impact of diverting ileostomy after stoma closure on the renal function and risk factors for chronic kidney disease following colorectal tumor surgery.Surgery today · 2026Article
- Clinical factors associated with early high-output stoma and 30-day readmission: a retrospective cohort study.Updates in surgery · 2026Article
- Strategies for Managing Fluids and Electrolytes in High-Output Stomas: A Systematic Review and Evidence Summary.Journal of multidisciplinary healthcare · 2026Review
- Patient-related risk factors for outlet obstruction in diverting loop ileostomy following minimally invasive rectal cancer surgery.Techniques in coloproctology · 2025Article
- Article
- Risk Assessment of Stoma Outlet Obstruction Development when a Temporary Ileostomy is Created during Rectal Cancer Surgery.Journal of the anus, rectum and colon · 2025Article
- Preoperative risk factors for ileostomy-associated kidney injury in colorectal tumor surgery following ileostomy formation.International journal of colorectal disease · 2024Article
- Prevention and care of adult enterostomy with high output: a scoping review protocol.BMJ open · 2024Article
- Complications associated with loop ileostomy: analysis of risk factors.Techniques in coloproctology · 2024Article
- Knowledge, attitudes, practices and associated factors regarding high output stoma of ileostomy among colorectal surgical nurses: a multicentre cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Predisposing factors for high output stoma in patients with a diverting loop ileostomy after colorectal surgeries.Annals of coloproctology · 2023Article
- Assessment of risk factors and establishment of a nomogram model to predict early high-output ileostomy.Langenbeck's archives of surgery · 2023Article
- 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
- How to manage a high-output stoma.Frontline gastroenterology · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHigh-output syndrome (HOS) is a complication of ileostomy, which can affect quality of life significantly; however, its exact cause remains unknown. The aim of this study was to establish the frequency, as well as the preoperative and intraoperative factors predictive of HOS.
methodsThe subjects of this study were 164 consecutive patients who underwent colorectal cancer surgery with ileostomy construction at our institute between January, 2011 and August, 2018. Thirteen patients with postoperative complications reported as causes of HOS, including intraperitoneal abscess, paralytic ileus, and outlet obstruction, were excluded. We used a logistic regression analysis to identify the factors predictive of HOS.
resultsHOS developed in 36 of the 151 patients (23.8%). There were significantly more diabetic patients in the HOS group (P = 0.03), but other patient factors such as age, gender, body mass index, and use of daily laxatives were not significantly different between the groups. The HOS group had significantly more cases of total proctocolectomy (P = 0.04), but other surgical factors such as operative time, and blood transfusion were not significantly different between the two groups.
conclusionsThese results indicate that diabetes and total proctocolectomy are preoperative predictors of HOS, allowing for the possibility of early intervention via post-surgical treatment.
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