Risk factors and management of stoma-related obstruction after laparoscopic colorectal surgery with diverting ileostomy

Stoma-related obstruction (SRO) is defined as small bowel obstruction occurring around the limbs of diverting ileostomy (DI). This study was aimed to investigate the incidence, risk factors, and management of SRO after laparoscopic colorectal surgery with DI creation. This study included 155 patient...

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Bibliographic Details
Published in:Asian journal of surgery 2021-08, Vol.44 (8), p.1037-1042
Main Authors: Maemoto, Ryo, Tsujinaka, Shingo, Miyakura, Yasuyuki, Fukuda, Rintaro, Kakizawa, Nao, Takenami, Tsutomu, Machida, Erika, Kikuchi, Nozomi, Kanemitsu, Rina, Tamaki, Sawako, Ishikawa, Hideki, Rikiyama, Toshiki
Format: Article
Language:English
Subjects:
Ileal pouch-anal anastomosis
Ileostomy
Laparoscopic surgery
Small bowel obstruction
Stoma-related obstruction
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Summary:Stoma-related obstruction (SRO) is defined as small bowel obstruction occurring around the limbs of diverting ileostomy (DI). This study was aimed to investigate the incidence, risk factors, and management of SRO after laparoscopic colorectal surgery with DI creation. This study included 155 patients who underwent laparoscopic colorectal surgery with DI creation for rectal cancer (n = 138), ulcerative colitis (UC) (n = 14), and familial adenomatous polyposis (FAP) (n = 3) between 2011 and 2019. Univariate and multivariate analyses were performed to identify the risk factors of SRO. The incidence of SRO was 7.7% (n = 12), and it was significantly lower (P 
ISSN:1015-9584
DOI:10.1016/j.asjsur.2021.01.002