Evidence map›Paper›PMID 34499279›Full record

ArticleTechniques in coloproctology2021

Impact of timing of reversal of loop ileostomy on patient outcomes: a retrospective cohort study.

T-W Khoo, N N Dudi-Venkata, Y Z Beh, S Bedrikovetski, H M Kroon, M L Thomas, T Sammour

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Article in Techniques in coloproctology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Predictors of clinically significant complications after stoma reversal: A prospective analytical study.World journal of gastrointestinal pharmacology and therapeutics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

T-W KhooColorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.
N N Dudi-VenkataColorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia. drnags3@gmail.com.ORCID http://orcid.org/0000-0002-9775-3599
Y Z BehColorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.
S BedrikovetskiDiscipline of Surgery, Faculty of Health and Medical Sciences, School of Medicine, University of Adelaide, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0001-9330-625X
H M KroonColorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0002-8923-7527
M L ThomasColorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.
T SammourColorectal Unit, Department of Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0002-4918-8871

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiverting loop ileostomies (DLIs) are ideally reversed 6-12 weeks after the index operation. However, reversal surgery is frequently delayed in a real-world setting, with potential implications on patient's quality of life and postoperative complications. The aim of this study was to investigate the impact of timing of the reversal on patient outcomes at a tertiary referral hospital.

methodsConsecutive patients who underwent elective reversal of loop ileostomy (RLI) between January 2007 and January 2019 were included. The primary outcomes were incidence of postoperative ileus (POI) and 30-day postoperative complications.

resultsOf 251 eligible patients, 158 (63%) were men, the median age was 64 years (range 23-88 years), and the most common index operation was an ultra-low anterior resection in 106 (42%). The median time to reversal for the entire cohort was 7.4 months (range 1-28). RLI was performed within 6 months after the index surgery in 89 patients (35%, early group), 6-12 months in 120 (48%, middle group) and after more than 12 months in 42 (17%, late group) patients. A significantly lower incidence of postoperative ileus (13.5% vs. 25.8% vs. 38.1%, p = 0.006), and 30-day postoperative complications (29.2% vs 41.7% vs. 57.1%, p = 0.011) were seen in the early group compared to the middle and late groups, respectively. There was no difference in the return to theater, length of hospital stay, and readmission rate between groups.

conclusionDelayed RLI is associated with increased risk of postoperative complications.

Indexed as

IleostomyQuality of LifeAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesYoung AdultDiverting loop ileostomyOutcomesPostoperative complicationsTime to reversal

Identifiers

PMID34499279

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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.