Abstract
Purpose
The association between technical maneuvers in fashioning a diverting loop-ileostomy and stoma-related complications remains unclear. Thus, this study aimed to evaluate their relevance to stoma-related morbidity.
Methods
This retrospective multicenter study was designed to collect data from 37 institutions. We evaluated the perioperative outcomes of consecutive patients who underwent surgery to create a diverting loop-ileostomy in 2013.
Results
A total of 4137 patients with colorectal disease underwent colorectomy, 279 of whom received an ileostomy. The results of these 279 patients were analyzed. The most common complications were parastomal dermatitis (n = 132) followed by ileus (n = 36), mucocutaneous separation (n = 24), parastomal hernia (n = 16), stoma retraction (n = 15), and stoma prolapse (n = 9). The technical maneuvers used in the creation of ileostomies were heterogeneous and some had a great deal of relevance to the complications. A long distance from the ileocecal valve to the ileostomy was associated with a low risk of stoma retraction and a high risk of ileus. Additionally, the height of the distal limb of the ileostomy significantly affected the incidence of parastomal dermatitis and mucocutaneous separation.
Conclusions
Specific technical maneuvers that are utilized in the creation of diverting loop-ileostomies had a significant influence on the incidence of stoma-related morbidities. Our findings emphasize the possibility of minimizing stoma-related complications with appropriate surgical techniques.
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Acknowledgements
The authors thank the following surgeons and institutions for their participation in this study: T. Ohnishi (NTT West Osaka Hospital, Osaka), H. Ota (Ikeda City Hospital, Ikeda), S. Morita (Toyonaka Municipal Hospital, Toyonaka), Y. Kai (Hanwasumiyoshi General Hospital, Osaka), Y. Baba (Sakurabashi Watanabe Hospital, Osaka), R. Nezu (Nishinomiya Municipal Central Hospital, Nishinomiya), H. Maruyama (Kawanishi City Hospital, Kawanishi), C. Matsuda (Osaka General Medical Center, Osaka), A. Ogawa (Tane General Hospital, Osaka), T. Tanigawa (Iseikai Hospital, Osaka), H. Akamatsu (Osaka Police Hospital, Osaka), Y. Fumimoto (Saiseikai Tondabayashi Hospital, Tondabayashi), H. Takemoto (Kinki Central Hospital, Itami), S. Yoshioka (Hyogo Prefectural Nishinomiya Hospital, Nishinomiya), R. Suzuki (Osaka Minato Central Hospital, Osaka), M. Fujii (Nissay Hospital, Osaka), K. Kitani (Nara Hospital Kinki University Faculty of Medicine, Ikoma), H. Tamagawa (Otemae Hospital, Osaka), N. Tanaka (Itami City Hospital, Itami), T. Shinkai (Saiseikai Senri Hospital, Suita), S. Mizutani (Ashiya Municipal Hospital, Ashiya), Y. Ide (Yao Municipal Hospital, Yao), M. Yasui (Kaizuka City Hospital, Kaizuka), H. Mizuno (JCHO Osaka Hospital, Osaka), M. Okuyama (Higashiosaka City General Hospital, Higashiosaka), K. Ikeda (Minoh City Hospital, Minoh), I. Ohashi (Hannan Chuo Hospital, Matsubara), H. Fujii (Rinku General Medical Center, Izumisano), K. Murata (Suita Municipal Hospital, Suita), H. Tominaga (National Hospital Organization Kure Medical Center, Kure), Y. Okada (Kawachi General Hospital, Higashiosaka). Special thanks to S. Tanaka (Osaka University Graduate School of Medicine) for stoma management and helpful discussion.
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The authors declare no conflicts of interest in association with the present study.
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M. Miyo and I. Takemasa contributed equally to this work.
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Miyo, M., Takemasa, I., Ikeda, M. et al. The influence of specific technical maneuvers utilized in the creation of diverting loop-ileostomies on stoma-related morbidity. Surg Today 47, 940–950 (2017). https://doi.org/10.1007/s00595-017-1481-2
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DOI: https://doi.org/10.1007/s00595-017-1481-2