Morbidity related to diverting ileostomy after restorative proctocolectomy in patients with ulcerative colitis

Show full item record



Permalink

http://hdl.handle.net/10138/305144

Citation

Karjalainen , E K , Renkonen-Sinisalo , L , Mustonen , H K & Lepistö , A H 2019 , ' Morbidity related to diverting ileostomy after restorative proctocolectomy in patients with ulcerative colitis ' , Colorectal Disease , vol. 21 , no. 6 , pp. 671-678 . https://doi.org/10.1111/codi.14573

Title: Morbidity related to diverting ileostomy after restorative proctocolectomy in patients with ulcerative colitis
Author: Karjalainen, E. K.; Renkonen-Sinisalo, L.; Mustonen, H. K.; Lepistö, A. H.
Contributor: University of Helsinki, HUS Abdominal Center
University of Helsinki, HUS Abdominal Center
University of Helsinki, HUS Abdominal Center
University of Helsinki, HUS Abdominal Center
Date: 2019-06
Language: eng
Number of pages: 8
Belongs to series: Colorectal Disease
ISSN: 1462-8910
URI: http://hdl.handle.net/10138/305144
Abstract: AimRestorative proctocolectomy with ileal pouch-anal anastomosis is considered by many surgeons to be the standard procedure for surgical management of ulcerative colitis. There is controversy about whether or not a covering ileostomy should be constructed. The aim of this study was to evaluate the outcomes and morbidity for patients with ulcerative colitis who underwent restorative proctocolectomy with or without a diverting ileostomy. MethodThis is a retrospective study of a consecutive series of 510 patients with ulcerative colitis who were operated on in Helsinki University Hospital between January 2005 and June 2016. A diverting ileostomy was performed in 119 patients (the stoma group) compared with 391 patients with no stoma. ResultsDehydration and intestinal obstruction occurred more often in the stoma group (P ConclusionOur study shows that a diverting ileostomy is associated with considerable morbidity but it does not seem to prevent later failure of the pouch. We suggest that a diverting ileostomy should only be constructed for high-risk patients.
Subject: Ulcerative colitis
restorative proctocolectomy
diverting ileostomy
complications
POUCH-ANAL ANASTOMOSIS
LOOP ILEOSTOMY
FAILURE
CLOSURE
3121 Internal medicine
3126 Surgery, anesthesiology, intensive care, radiology
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Karjalainen_et_al_2019_Colorectal_Disease.pdf 87.75Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record