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KMID : 1188520120080010044
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Korean Journal of Clinical Oncology
2012 Volume.8 No. 1 p.44 ~ p.49
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Comparison of morbidity between preventive and therapeutic ileostomy repair
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Lee Dong-Hyoun
Yun Jung-A
Jung Kyung-Wook
Cho Yong-Beom
Yun Seong-Hyeon
Kim Hee-Cheol
Chun Ho-Kyung
Lee Woo-Yong
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Abstract
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Backgrounds: The purpose of this study is to compare the complications after ileostomy take down between preventive and therapeutic ileostomy formation .
Methods: From January 2006 through December 2010, 373 patients underwent closure of ileostomy. Inclusion criteria are as follows: 1) Patients undergoing an elective takedown of a temporary ileostomy in colorectal cancer; 2) age ＞ 19. Excluded were patients with nonelective stoma take down and patients undertaken to treat anastomosis site stricture or anal stricture. 373 patients are included in the analysis: 280 Protective and 93 therapeutic.
Results: The morbidity rate of protective ileostomy take down is 22.1% and therapeutic ileostomy take down is 30.3%. Ileus is the most common complication in both groups. Those who underwent therapeutic ileostomy have longer postoperative hospital stay (6.9 days vs 9.7 days)(p＜0.01), and they also need more time to eat soft blended diet compared to preventive ileostomy group (3.9 days vs 6.8 days)(p＜0.05).The variables affecting to complications after ileostomy take down in MultipleLogistic Regression Analysis analysis were therapeutic ileostomy take down(p＜0.01).
Conclusion: In the colorectal cancer surgery, preventive ileostomy take down showed better outcomes than therapeutic ileostomy after take down. Thus, in the case whenanastomosis is unstable or low, it is important to consider inconvenience of patients, risk of re-surgery due to anastomosis site leakage and increase in complications after therapeutic ileostomy take down when we performing of preventive ileostomy formation.
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KEYWORD
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Preventive ileostomy, therapeutic ileostomy, take down, complications
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