EP.TH.421A Systematic Review of Early versus Late Closure of Loop Ileostomy

نویسندگان

چکیده

Abstract Aim A Loop ileostomy is one of the most common techniques used in colorectal surgery, order to protect either a downstream anastomosis or coloanal anastomosis. However, it procedure that can cause plethora complications. Currently, there no consensus regarding optimal time for its reversal. Some studies suggested early reversal as solution reduce these This study aims review available literature ascertain benefits behind closure loop ileostomy. Methods The was searched all included comparison between outcomes and late terms morbidity, mortality, quality life, where available. Early defined less than three months more months, accordance with conventional literature. resultant articles were filtered using our inclusion exclusion criteria. Finally, remaining assessed their results compared another draw conclusions. Results slightly inclined toward ileostomy, despite limitations reviewed. Conclusion There reviewed, including heterogenicity studies, selection bias, lack clear definition measured outcomes, small sample size. Taking into consideration, ileostomies selected patients promising require further investigation.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

[Effectiveness of afferent loop stimulation prior to ileostomy closure].

We have read with great interest the article by Abrisqueta, entitled Afferent loop stimulation prior to ileostomy closure. We report the case of a 55-year-old female patient who, during the diagnostic process of rectal tenesmus and bleeding, was diagnosed with a rectal adenocarcinoma measuring 3 cm, located 5 cm from the anal margin with concentric involvement, and 3 nodules in the mesorectal f...

متن کامل

[Morbidity and mortality associated to loop colostomy and ileostomy closure].

OBJECTIVE To evaluate the morbidity and mortality of operations for closure of loop colostomies and ileostomies. METHODS We analyzed epidemiological data, postoperative complications, morbidity and mortality of patients who underwent operations for closure of loop colostomies and ileostomies. We excluded patients whose data could not be obtained from the files and operations that required lap...

متن کامل

early versus late decompression for traumatic spinal cord injuries; a systematic review and meta-analysis

introduction: despite the vast number of surveys, no consensus has been reached on the optimum timing of spinal decompression surgery. this systematic review and meta-analysis aimed to compare the effects of early and late spinal decompression surgery on neurologic improvement and post-surgical complications in patients with traumatic spinal cord injuries. methods: two independent reviewers car...

متن کامل

Meta-analysis of handsewn versus stapled reversal of loop ileostomy.

BACKGROUND The morbidity associated with closure of loop ileostomy (LI) may be attributed to the various surgical techniques employed for the closure. The purpose of this review was to review the hand-sutured (HS) versus the stapled anastomosis (SA) techniques, used in the reversal of LI. METHODS The MEDLINE, PubMed, CINHAL, Cochrane library and Web of Knowledge databases were searched for ra...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2021

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znab309.051