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Korean Journal of Clinical Oncology > Article
Korean J Clin Oncol. 2012;8(1): 44-49.         doi: https://doi.org/10.14216/kjco.12006
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
이동현, 윤정아, 정경욱, 조용범, 윤성현, 김희철, 전호경, 이우용
성균관대학교 의과대학 삼성서울병원 외과학교실
Corresponding Author: Woo-Yong Lee ,Tel: +82-2-3410-3469, Fax: +82-2-3410-0040, Email: lwy555@skku.edu
Received: April 29, 2012;  Accepted: June 19, 2012.
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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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