このエントリーをはてなブックマークに追加
ID 37112
本文ファイル
著者
Saito, Yasufumi
Takakura, Yuji
キーワード
Loop ileostomy
Ileostomy closure
Complication
BMI
NDC
医学
抄録(英)
Loop ileostomy is widely employed after low rectal anastomosis to prevent pelvic sepsis from anastomotic leakage. However, stoma closure carries a risk of morbidity and even mortality in some cases. It is important to assess complications after stoma closure for maximizing the benefit of making loop ileostomy. The aim of this study was to review and examine the possible risk factors associated with complications after closure of loop ileostomies. A retrospective analysis, which focused on risk factors for complications after surgery, was performed for 82 consecutive patients who underwent elective closure of loop ileostomy from 2005-2012 at Hiroshima University Hospital. Postoperative complications developed in 22 patients (26.8%): 12 (14.6%) had an ileus, 8 (9.8%) had a wound infection, 2 (2.4%) had an intraperitoneal abscess and 1 had pseudomembranous enterocolitis. There was no postoperative mortality. In univariate analysis, gender and higher body mass index (BMI) were identified as significant risk factors for postoperative complications. After multivariate analysis, a BMI of 24 kg/m2 was identified as the cut-off value, above which significantly higher incidences of postoperative complications were observed. Furthermore, patients who succeeded in reducing their weight (BMI <24 kg/m2) between the first and second surgeries had less morbidity than patients who remained obese (BMI >24 kg/m2). Our study showed that the majority of complications associated with ileostomy closure are ileus. A BMI >24 kg/m2 is an independent risk factor for postoperative complications. Weight loss programs before stoma closure might reduce postoperative complications.
掲載誌名
Hiroshima Journal of Medical Sciences
63巻
4号
開始ページ
33
終了ページ
38
出版年月日
2014-12
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
権利情報
Copyright (c) Hiroshima University Medical Press
部局名
医歯薬保健学研究科
他の一覧