ArticleSurgery today2021
Risk factors for outlet obstruction after laparoscopic surgery and diverting ileostomy for rectal cancer.
Article in Surgery today, 2021. 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, 30 citations in OpenAlex.
- Risk factors for stoma outlet obstruction: systematic review and meta-analysis.Langenbeck's archives of surgery · 2025Pooled it
- Prevalence and pooled risk factors of stoma outlet obstruction after colorectal surgery with diverting ileostomy: a systematic review and meta-analysis.International journal of colorectal disease · 2025Pooled it
- Risk factors for stoma outlet obstruction after colorectal cancer surgery with diverting loop ileostomy: A retrospective single-center study.Surgery today · 2026Article
- Effectiveness of a three-layer closure technique for preventing stoma-site incisional hernia after stoma closure in patients with rectal cancer.Surgery today · 2026Article
- Stomal Outlet Obstruction Caused by Torsion of the Stomal Limb Associated with Fecal Loading after End Colostomy: A Case Report.Surgical case reports · 2026Article
- Patient-related risk factors for outlet obstruction in diverting loop ileostomy following minimally invasive rectal cancer surgery.Techniques in coloproctology · 2025Article
- A novel technique for the construction of an end ileostomy to prevent stoma outlet obstruction after rectal resection and total colectomy: a single-center retrospective study.Surgery today · 2025Article
- 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
- Ileostomy volvulus as an underreported problem causing small bowel obstruction in patients living with ostomy: a case report and literature review.Annals of coloproctology · 2024Article
- Article
- Complications associated with loop ileostomy: analysis of risk factors.Techniques in coloproctology · 2024Article
- High-output stoma is a risk factor for stoma outlet obstruction in defunctioning loop ileostomies after rectal cancer surgery.Surgery today · 2024Article
- The evaluation of postoperative bowel dysfunction in Japanese patients with rectal cancer.Surgery today · 2023Article
- A comparative study of stoma-related complications from diverting loop ileostomy or colostomy after colorectal surgery.Langenbeck's archives of surgery · 2023Article
- Review
- Transatmospheric ileal stoma manometry can be applied for the early detection of stoma outlet obstruction.Frontiers in oncology · 2023Article
- Obstructive and secretory complications of diverting ileostomy.World journal of gastroenterology · 2022Review
- Laparoscopic extraperitoneal colostomy has a lower risk of parastomal hernia and bowel obstruction than transperitoneal colostomy.International journal of colorectal disease · 2022Article
- Risk Factors for Stoma Outlet Obstruction: Preventing This Complication after Construction of Diverting Ileostomy during Laparoscopic Colorectal Surgery.JMA journal · 2022Article
- Abdomen anatomic characteristics on CT scans as predictive markers for short-term complications following radical resection of colorectal cancer.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOutlet obstruction is defined as bowel obstruction at the stoma opening. The aim of this study was to evaluate the risk factors for outlet obstruction in patients with rectal cancer who underwent laparoscopic surgery and diverting ileostomy.
methodsAmong consecutive patients who underwent laparoscopic curative resection for primary rectal cancer between 2013 and 2015, 261 patients with diverting ileostomy were included in the analysis. The thickness of the abdominal wall, including the thickness of the rectus abdominis muscle, was measured using preoperative computed tomography. The clinicopathological factors were compared between the patients with and without outlet obstruction.
resultsFourteen (5.4%) patients were diagnosed with outlet obstruction, but reoperation was not required. The rectus abdominis muscle was significantly thicker in male patients with outlet obstruction compared to those without outlet obstruction, but not in females. In a multivariate analysis, a rectus abdominis muscle thickness of 10 mm or more was determined to be an independent risk factor for outlet obstruction (odds ratio, 7.0482; p = 0.0061).
conclusionsThe thickness of the rectus abdominis muscle may be used to predict the occurrence of outlet obstruction in male patients with rectal cancer who undergo laparoscopic surgery and diverting ileostomy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.