ArticleWorld journal of gastroenterology2020
Diverting colostomy is an effective and reversible option for severe hemorrhagic radiation proctopathy.
Article in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- The impact of a three-dimensional interconnected continuity of care intervention on self-care capacity, negative emotional states, and quality of life in patients with ostomies.Frontiers in public health · 2026Article
- High-risk factors and predictive models for hemorrhagic chronic radiation proctitis.European journal of medical research · 2025Article
- A Retrospective Single-Arm Cohort Study in a Single Center of Radiofrequency Ablation in Treatment of Chronic Radiation Proctitis.Life (Basel, Switzerland) · 2023Article
- Fecal diversion in complex anal fistulas: Is there a way to avoid it?World journal of clinical cases · 2021Review
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSevere chronic radiation proctopathy (CRP) is difficult to treat.
aimTo evaluate the efficacy of colostomy and stoma reversal for CRP.
methodsTo assess the efficacy of colostomy in CRP, patients with severe hemorrhagic CRP who underwent colostomy or conservative treatment were enrolled. Patients with tumor recurrence, rectal-vaginal fistula or other types of rectal fistulas, or who were lost to follow-up were excluded. Rectal bleeding, hemoglobin (Hb), endoscopic features, endo-ultrasound, rectal manometry, and magnetic resonance imaging findings were recorded. Quality of life before stoma and after closure reversal was scored with questionnaires. Anorectal functions were assessed using the CRP symptom scale, which contains the following items: Watery stool, urgency, perianal pain, tenesmus, rectal bleeding, and fecal/gas incontinence.
resultsA total of 738 continual CRP patients were screened. After exclusion, 14 patients in the colostomy group and 25 in the conservative group were included in the final analysis. Preoperative Hb was only 63 g/L ± 17.8 g/L in the colostomy group compared to 88.2 g/L ± 19.3 g/L (
conclusionDiverting colostomy is a very effective method in the remission of refractory hemorrhagic CRP. Stoma can be reversed, and anorectal functions can be recovered after reversal.
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