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KMID : 0358420080510070732
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Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 7 p.732 ~ p.737
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Clinical characteristics of ovarian cancer patients who underwent enterostomy
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Kim Ki-Dong
Kim Jae-Won
Park Noh-Hyun
Song Yong-Sang
Kang Soon-Beom
Lee Hyo-Pyo
Chung Hyun-Hoon
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Abstract
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Objective: The aim of this study was to examine the clinical characteristics of patients with ovarian cancer who underwent enterostomy.
Methods: Via medical record review, we obtained clinical information of 51 ovarian cancer patients who underwent enterostomy in our hospital, from 1990 to 2006. We compared the clinical characteristics according to the indication of enterostomy: primary cytoreduction (PC), secondary cytoreduction (SC), and palliative only (PO). In addition, we investigated the correlations among clinical characteristics to find prognosticators.
Results: Patients were older (P=0.061), had less upper gastrointestinal symptoms (P=0.000), underwent colostomy rather than ileostomy (P=0.037), and received more postoperative chemotherapy (P=0.000) according to the following order: PC, SC, PO groups. Older patients had more postoperative complications (P=0.035). In the PC group, older patients had less chance of optimal debulking (P=0.020). In the PO group, preoperative gastrointestinal symptoms were associated with the type of enterostomy.
Conclusions: Clinical characteristics of patients were different according to the indication of enterostomy. Careful examination of clinical characteristics and gastrointestinal symptoms might be helpful to predict the postoperative quality of life.
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KEYWORD
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Ovarian neoplasms, Enterostomy, Palliative care, Postoperative complications
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