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Diseases of the Colon & Rectum

, Volume 49, Issue 7, pp 1011–1017 | Cite as

Morbidity of Temporary Loop Ileostomy in Patients With Colorectal Cancer

  • Andreas ThalheimerEmail author
  • Marco Bueter
  • Martin Kortuem
  • Arnulf Thiede
  • Detlef Meyer
Article

Purpose

This study was designed to quantify the temporary loop ileostomy-related morbidity in patients with colorectal cancer and contrast the morbidity rates after ileostomy closure before, during, and after the start of adjuvant therapy.

Methods

Between 1997 and 2004, 120 patients with colorectal carcinoma underwent colorectal resection and creation of a temporary loop ileostomy to protect the low anastomosis. Stoma-related complications and perioperative morbidity after ileostomy closure were assessed retrospectively by reviewing the medical records.

Results

Sixteen of the 120 patients (13.3 percent) suffered stoma-related complications, requiring early ileostomy closure in three. After ileostomy closure, anastomotic leakage of the ileoileostomy occurred in 3 of the 120 patients (2.5 percent), 2 of them died postoperatively (1.7 percent). The rate of minor complications (16.7 percent in all patients) was much higher in patients undergoing adjuvant chemotherapy or radiochemotherapy (25.5 percent) than in patients receiving no additional therapy (9.2 percent). In the former patients, there was a trend toward fewer complications when ileostomy closure was performed before (12.5 percent), rather than during (42.9 percent) or after (21.2 percent), the start of adjuvant therapy.

Conclusions

The morbidity following closure of a temporary loop ileostomy in colorectal cancer patients is much higher in patients receiving adjuvant chemotherapy or radiochemotherapy. The morbidity, however, might possibly be lowered to the level of patients receiving no additional therapy if ileostomy closure is performed before the start of adjuvant therapy.

Key words

Temporary loop ileostomy Morbidity Colorectal cancer 

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Copyright information

© The American Society of Colon and Rectal Surgeons 2006

Authors and Affiliations

  • Andreas Thalheimer
    • 1
    Email author
  • Marco Bueter
    • 1
  • Martin Kortuem
    • 1
  • Arnulf Thiede
    • 1
  • Detlef Meyer
    • 1
  1. 1.Department of General SurgeryUniversity of WurzburgWurzburgGermany

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