ArticleWorld journal of gastrointestinal surgery2025
Comparison of complication rates after early and late closure of loop ileostomies: A retrospective cohort study.
Article in World journal of gastrointestinal surgery, 2025. 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.
- Dynamic changes in the aggregate index of systemic inflammation (ΔAISI) predict postoperative complications following ileostomy closure in rectal cancer patients.BMC surgery · 2026Article
- Predictors of clinically significant complications after stoma reversal: A prospective analytical study.World journal of gastrointestinal pharmacology and therapeutics · 2026Article
- Timing of diverting loop ileostomy closure after rectal resection: Commentary on recent findings.World journal of gastrointestinal surgery · 2025Article
- Early Closure of Diverting Ileostomy After Rectal Resection: Are We Ready to Make the Shift?Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025Review
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the treatment of rectal cancer, a temporary loop ileostomy (TLI) is created after low anterior resection to protect bowel function in the postoperative period. Dehydration and kidney failure are significant potential complications in loop ileostomies. Compared to late closure (3-6 months), early closure (10-14 days) of the TLI may facilitate faster patient recovery and shorter hospital stays.
aimTo compare early and late closure of TLIs and demonstrate that early stoma closure can be performed without increasing morbidity.
methodsThis study included patients who underwent TLI for rectal cancer, with data collected prospectively between June 2016 and October 2024 and analyzed retrospectively. Patients whose stomas were closed in the late period (3-6 months) between June 2016 and October 2022 (group A) were compared with those who underwent early closure (10-14 days) between October 2022 and 2024 (group B), with the primary outcome being complication rate and the secondary outcome being quality of life.
resultsA total of 270 TLIs were created (70.9%). Of these, 120 (44.4%) were closed in the late period (group A), and 150 (55.6%) were closed in the early period (group B). There was no statistically significant difference between group A and group B in terms of demographic and clinicopathological characteristics (
conclusionNo statistically significant difference was found between early and late loop ileostomy closure in terms of perioperative and postoperative morbidity. Early closure accelerated patients' psychological and social recovery.
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