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. 2018 Mar 9;2(1):25-30.
doi: 10.23922/jarc.2017-034. eCollection 2018.

Incidence and risk factor of outlet obstruction after construction of ileostomy

Gaku Ohira  1 , Hideaki Miyauchi  1 , Koichi Hayano  1 , Akiko Kagaya  1 , Shunsuke Imanishi  1 , Toru Tochigi  1 , Tetsuro Maruyama  1 , Hisahiro Matsubara  1
Affiliations

Incidence and risk factor of outlet obstruction after construction of ileostomy

Gaku Ohira et al. J Anus Rectum Colon. .

Abstract

There are several reports on the usefulness of diverting ileostomy for decreasing the incidence of anastomotic leakage and the severity of pelvic peritonitis. However, a number of complications induced by ileostomy itself have also been reported, including a special condition induced by obstruction at the outlet of the stoma known as "outlet obstruction." In this study, we examined the frequency and risk factors of this complication based on the data of ileostomy cases in our institution.

Methods: One hundred and seven patients who received ileostomy creation at our department from January 2010 to December 2015 were included. The incidence of outlet obstruction and risk factors were analyzed.

Results: Outlet obstruction occurred in 18 cases (16.8%). The incidence was significantly higher in total colectomy or proctocolectomy cases as well as in those with left side construction and laparoscopic surgery than in other patients in a univariate analysis. However, in a multivariate analysis, no risk factors were extracted.

Conclusions: To determine the true cause of this disease, a prospective study with a large number of cases is needed. Since multiple terms are used for this condition, resulting in confusion, a consensus on the appropriate terms is also important.

Keywords: ileostomy; outlet obstruction; rectal cancer; risk factor; ulcerative colitis.

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Conflict of interest statement

Conflicts of Interest There are no conflicts of interest.

Figures

Figure 1.
Figure 1.
Computed tomography image of the case who develop outlet obstruction. The ileum just before the outlet site of ileostomy is dilated (arrow).
See this image and copyright information in PMC

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