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首页> 外文期刊>Journal of Clinical Medicine Research >Defunctioning Ileostomy Reversal Rates and Reasons for Delayed Reversal: Does Delay Impact on Complications of Ileostomy Reversal? A Study of 170 Defunctioning Ileostomies
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Defunctioning Ileostomy Reversal Rates and Reasons for Delayed Reversal: Does Delay Impact on Complications of Ileostomy Reversal? A Study of 170 Defunctioning Ileostomies

机译：功能失常的回肠造口术逆转率和延迟逆转的原因：延误对回肠造口术逆转并发症有影响吗？ 170例功能失常的切除术的研究

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Background: Temporary defunctioning ileostomy can reduce the consequences of anastomotic leak following low anterior resection. However, some patients never have their ileostomy reversed and in other cases the time to reversal of ileostomy can be delayed. The aim of this study was to identify the ileostomy closure rate following anterior resection, time to closure of ileostomy, reasons for delay in reversal and whether delay was associated with an increased complication rate.Methods: Data were collected retrospectively on consecutive patients undergoing defunctioning ileostomy following anterior resection for rectal cancer, between January 2009 and August 2013. Data were collected on reversal of ileostomy rates, time to reversal, reasons for delayed reversal (defined as > 6 months) and complications following reversal.Results: One hundred seventy patients were studied (median age 69 years, range 41 - 90 years), of whom 117 (69%) were male. One hundred twenty-seven (75%) patients had their ileostomies reversed. Median time to reversal was 6 months (range 1 - 42). In 63 patients who had delayed reversal, reasons were adjuvant chemotherapy (22, 35%), medical illness (14, 22%), anastomotic leak (9, 14%), and others (4, 7%). Postoperative complications occurred in 33 patients (26%). There was no postoperative mortality. Univariate analysis showed that delayed reversal was associated with an increased rate of complications and longer length of hospital stay following reversal (P < 0.05).Conclusions: One in four defunctioning ileostomies are not closed following anterior resection in our unit. Of those that are closed, approximately 50% have delayed closure beyond 6 months which is associated with increased risk of complications following their ileostomy reversal.J Clin Med Res. 2015;7(9):685-689doi: http://dx.doi.org/10.14740/jocmr2150w
机译：背景：暂时丧失功能的回肠造口术可以减少低位前切除术后吻合口漏的后果。但是，有些患者从未回肠造口术逆转，而在其他情况下，回肠造口术逆转的时间可能会延迟。这项研究的目的是确定前切除后回肠造口术的闭合率，回肠造口术的闭合时间，逆转延迟的原因以及延迟是否与并发症发生率增加有关。方法：回顾性收集连续性进行回肠造口术的患者的数据。在2009年1月至2013年8月之间进行直肠癌前切除术之后。收集了以下数据：回肠造口率的逆转，逆转的时间，逆转延迟的原因（定义为> 6个月）以及逆转后的并发症。结果：170例患者研究（中位年龄69岁，范围41-90岁），其中117名（69％）是男性。一百二十七名（75％）患者的回肠切开术被逆转。中位逆转时间为6个月（范围1-42）。在63位延迟逆转的患者中，原因是辅助化疗（22，35％），内科疾病（14，22％），吻合口漏（9，14％）和其他原因（4，7％）。术后并发症发生在33例患者中（26％）。没有术后死亡率。单因素分析表明，延迟逆转与并发症发生率增加以及逆转后住院时间延长有关（P <0.05）。结论：在我们的前路切除术后，四分之一的功能不全的回肠切开术并未闭合。在关闭的患者中，约有50％的患者延迟关闭时间超过6个月，这与回肠造口术逆转后发生并发症的风险增加有关。JClin Med Res。 2015; 7（9）：685-689doi：http：//dx.doi.org/10.14740/jocmr2150w

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