| Comparison of morbidity between preventive and
therapeutic ileostomy repair |
| Dong-hyoun Lee, Jung-a Yun, Kyung Uk Jung, Yong Beom Cho, Seong Hyeon Yun, Hee Cheol Kim, Ho-kyung Chun, Woo-Yong Lee |
| Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
| 예방적 회장루 복원술과 치료적 회장루 복원술의 합병증 발생비교 |
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이동현, 윤정아, 정경욱, 조용범, 윤성현, 김희철, 전호경, 이우용 |
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성균관대학교 의과대학 삼성서울병원 외과학교실 |
| Corresponding Author:
Woo-Yong Lee ,Tel: +82-2-3410-3469, Fax: +82-2-3410-0040, Email: lwy555@skku.edu |
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Received: April 29, 2012; Accepted: June 19, 2012. |
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| ABSTRACT |
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Backgrounds : The purpose of this study is to compare the complications after ileostomy take down between
preventive and therapeutic ileostomy formation .
Methods : From January 2006 through December 2010, 373 patients underwent closure of ileostomy. Inclusion
criteria are as follows: 1) Patients undergoing an elective takedown of a temporary ileostomy in colorectal cancer;
2) age > 19. Excluded were patients with nonelective stoma take down and patients undertaken to treat
anastomosis site stricture or anal stricture. 373 patients are included in the analysis: 280 Protective and 93
therapeutic.
Results : The morbidity rate of protective ileostomy take down is 22.1% and therapeutic ileostomy take down is
30.3%. Ileus is the most common complication in both groups. Those who underwent therapeutic ileostomy have
longer postoperative hospital stay (6.9 days vs 9.7 days)(p<0.01), and they also need more time to eat soft blended
diet compared to preventive ileostomy group (3.9 days vs 6.8 days)(p<0.05).The variables affecting to
complications after ileostomy take down in MultipleLogistic Regression Analysis analysis were therapeutic
ileostomy take down(p<0.01).
Conclusion : In the colorectal cancer surgery, preventive ileostomy take down showed better outcomes than
therapeutic ileostomy after take down. Thus, in the case whenanastomosis is unstable or low, it is important to
consider inconvenience of patients, risk of re-surgery due to anastomosis site leakage and increase in
complications after therapeutic ileostomy take down when we performing of preventive ileostomy formation. |
| Keywords:
Preventive ileostomy | therapeutic ileostomy | take down | complications |
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