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Defunctioning ileostomy closure following low anterior resection by chemotherapy

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Abstract

Aim

The aim of this study is to review the time between formation and closure of loop ileostomies following total mesorectal excision in patients with rectal cancer.

Patients and methods

A retrospective study of 170 patients who underwent low anterior resection for rectal cancer, between 1990 and 2009. Loop ileostomies were created in 8 patients.

Results

Of the 8 patients with defunctioning loop ileostomies, 4 received adjuvant chemo-radiotherapy, 3 received neo-adjuvant chemo-radiotherapy and 1 did not receive anything. There was 12.5% morbidity. The time from formation to closure for the patient with no adjuvant therapy was 3 months and for those with adjuvant therapy was 7 months. This was a significant delay.

Conclusion

Time between formation and closure of loop ileostomy following anterior resection of rectum is significantly delayed by adjuvant chemotherapy.

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Conflict of interest

The authors declare that they have no conflict of interest related to the publication of this article.

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Authors and Affiliations

  1. 4th Surgical Department, Aristotle University, Thessaloniki, Greece

    G. Vrakas, M. G. Pramateftakis, D. Kanellos, S. Sapidis, P. Hatzigianni, Th. Tsachalis, I. Kanellos & Ch. Lazaridis

  2. Surgical Department, European Medical Center, Thessaloniki, Greece

    G. Vrakas, M. G. Pramateftakis, D. Kanellos, S. Sapidis, P. Hatzigianni, Th. Tsachalis, I. Kanellos & Ch. Lazaridis

  3. Antheon 1, 55236, Panorama, Thessaloniki, Greece

    M. G. Pramateftakis

Authors
  1. G. Vrakas
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  2. M. G. Pramateftakis
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  3. D. Kanellos
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  4. S. Sapidis
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  5. P. Hatzigianni
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  6. Th. Tsachalis
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  7. I. Kanellos
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  8. Ch. Lazaridis
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Corresponding author

Correspondence to M. G. Pramateftakis.

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Vrakas, G., Pramateftakis, M.G., Kanellos, D. et al. Defunctioning ileostomy closure following low anterior resection by chemotherapy. Tech Coloproctol 14 (Suppl 1), 77–78 (2010). https://doi.org/10.1007/s10151-010-0628-6

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  • DOI: https://doi.org/10.1007/s10151-010-0628-6

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