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. 2017 Oct-Dec;30(4):231-234.
doi: 10.1590/0102-6720201700040001.

COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS

[Article in English, Portuguese]
Alexandre Z Fonseca  1 , Edson Uramoto  1 , Otto M Santos-Rosa  1 , Stephanie Santin  1 , Marcelo Ribeiro Jr  1
Affiliations

COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS

[Article in English, Portuguese]
Alexandre Z Fonseca et al. Arq Bras Cir Dig. 2017 Oct-Dec.

Abstract
in English, Portuguese

Background: : The restoration of intestinal continuity is an elective procedure that is not free of complications; on the contrary, many studies have proven a high level of morbidity and mortality. It is multifactorial, and has factors inherent to the patients and to the surgical technique.

Aim: : To identify epidemiological features of patients that underwent ostomy closure analyzing the information about the surgical procedure and its arising complications.

Method: : It was realized a retrospective analysis of medical records of patients who underwent ostomy closure over a period of seven years (2009-2015).

Results: : A total of 39 patients were included, 53.8% male and 46.2% female, with mean age of 52.4 years. Hartmann´s procedure and ileostomy were the mainly reasons for restoration of intestinal continuity, representing together 87%. Termino-terminal anastomosis was performed in 71.8% of cases, by using mainly the manual technique. 25.6% developed complications, highlighting anastomotic leakage; there were three deaths (7.6%). The surgical time, the necessity of ICU and blood transfusion significantly related to post-operative complications.

Conclusion: : It was found that the majority of the patients were male, with an average age of 52 years. It was observed that the surgical time, the necessity of blood transfusion and ICU were factors significantly associated with complications.

A reconstrução de trânsito intestinal é procedimento realizado eletivamente que não é isento de complicações, pelo contrário, muitos estudos evidenciam alto grau de morbimortalidade, dependendo de fatores inerentes ao paciente, bem como da própria técnica operatória.

Identificar as características epidemiológicas dos pacientes submetidos à reconstrução intestinal, além de analisar as informações a respeito do procedimento cirúrgico e as complicações decorrentes.

Foi realizado análise retrospectiva dos prontuários dos pacientes submetidos à reconstrução intestinal no período de sete anos (2009-2015).

Foram incluídos 39 pacientes, sendo 53,8% homens e 46,2% mulheres, com idade média de 52 anos. As operações tipo Hartmann e ileostomia foram os motivos para a reconstrução do trânsito intestinal, representando juntas 87% dos pacientes. A anastomose terminoterminal foi realizada em 71,8% dos casos, utilizando principalmente a técnica manual. 25,6% dos pacientes apresentaram complicações, destacando-se a fístula de anastomose. Três (7,6%) morreram. O tempo operatório, necessidade de UTI e transfusão sanguínea apresentaram significância estatística com as complicações pós-operatórias.

Verificou-se que a maioria foi de homens, com média de idade de 52 anos. Entre as variáveis estudadas, observou-se que a duração da operação, a necessidade de transfusão sanguínea e de UTI foram fatores complicadores com significância estatística.

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Conflict of interest statement

Conflict of interest: none.

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