Prevalence and pooled risk factors of stoma outlet obstruction after colorectal surgery with diverting ileostomy: a systematic review and meta-analysis.

Jian-Xin Gan, Hai-Peng Liu, Kang Chen

Abstract readSystematic ReviewMeta-Analysis

In one paragraph

Synthesis in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Clinical impact of diverting ileostomy and high-output stoma on adjuvant chemotherapy for rectal cancer: a retrospective cohort study.International journal of colorectal disease · 2025
Article

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Jian-Xin GanDepartment of General Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, 730000, Gansu, China.

Hai-Peng LiuDepartment of General Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, 730000, Gansu, China.

Kang ChenDepartment of General Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, 730000, Gansu, China. chenkang1000@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStoma outlet obstruction (SOO) is a significant complication following colorectal surgery with diverting ileostomy, but its prevalence and associated risk factors are not fully understood. This meta-analysis aimed to quantify the prevalence of SOO and identify key risk factors influencing its occurrence.

methodsA systematic review and meta-analysis of 19 studies comprising 3287 patients were conducted. Pooled prevalence and odds ratios (ORs) for risk factors were calculated using a random-effects model. Subgroup and sensitivity analyses were performed to explore heterogeneity, and publication bias was assessed using funnel plots and Egger's regression test.

resultsThe pooled prevalence of SOO was 14% (95% CI = 11-18%, I

conclusionsSOO occurs in approximately 14% of patients undergoing colorectal surgery with diverting ileostomy. Key modifiable factors included high-output syndrome, rectus abdominis thickness, and laparoscopic surgery.

Indexed as

Colorectal SurgeryIleostomyIntestinal ObstructionPostoperative ComplicationsSurgical StomasHumansOdds RatioPrevalencePublication BiasRisk FactorsColorectal surgeryDiverting ileostomyMeta-analysisRisk factorsStoma outlet obstruction

Identifiers

PMID40374916

DOI10.1007/s00384-025-04862-5

PMCPMC12081477

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LicenceCC BY-NC-ND

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