Use of ileostomy versus colostomy as a bridge to surgery in left-sided obstructive colon cancer: retrospective cohort study

Collaborators, Affiliations

Collaborators

Dutch Snapshot Research Group:
F J Amelung, E C J Consten, T A Burghgraef, D A Hess, R Roukema, A Demirkiran, M Tenhagen, J Straatman, G Nieuwenhuijzen, H J T Rutten, G Vugts, B Inberg, A Kreiter, S Scheurs, M F Gerhards, R L G M Blom, M J A M Russchen, A van den Berg, J W T Dekker, H P Versteegh, F W H Kloppenberg, I S Bakker, J T H Hamminga, J L M Konsten, M van Heinsbergen, S T van Vugt, J E Bouwman, J T Heikens, A van den Berg, M Takkenberg, L Graat, A J N M Bastiaansen, E A Gorter, J W S Merkus, E G Boerma, L Koolen, D Jean Pierre, E van der Harst, W Hogendoorn, L H Wijngaarden, R T J Kortekaas, M C Struijs, N Heuchemer, P Fockens, E E van Halsema, W A A Borstlap, P J Tanis, J Veld, W A Bemelman, D D Wisselink, A C H M Jongen, V N E Schuermans, N D Bouvy, C S Andeweg, J W Foppen, J Heemskerk, J Scheerhoorn, P van der Sluis, N Smakman, E R J Bruns, E S van der Zaag, H J Schuiten, T Argillander, K Parry, D Lips, H Algera, P Poortman, C Steur, H A Swank, B Lamme, M N N J Arron, D van Uden, P D Siersema, J H W de Wilt, L Daniels, D J A Sonneveld, K Nielsen, I Masselink, L M Lutke Holzik, G Lo, A G Menon, J F Lange, B J van Wely, A van Esch, D E Moes, B M M Reuber, B H M Heijnen, I de Groot-van Veen, A W H van de Ven, C C M Marres, H E Haak, M Vermaas, P van Hagen, H L van Westreenen, J W A de Haas, J M Klaase, M J F van Veen, A Mearadji, J Heeren, R Silvis, J A M G Tol, C J L Molenaar, J A van Essen, T Lettinga, L Verkoele, G L Beets, D D E Zimmerman, Y T van Loon, P Oomen, H S de Vries, J E van Hooft, K C M J Peeters, N D A Boye, F Ter Borg, A K Talsma, A A Wijkmans, A A W van Geloven, N van Oorschot, B Blomberg, W M U van Grevenstein, J L Tolenaar, F C den Boer, J C Sierink, T Paulides, B M M Reiber, B van de Beukel, J B Tuynman, H T Bransma, A R M Brandt-Kerkhof, M E E Bröker, R M P H Crolla, J van der Slegt, T L Janssen, C Werker, H J Schuijt, M J Wiezer, K van Dongen, V Kornmann, L Tseng, D Smit, C Sietses, T Visser, G D Algie, M J Nieboer, P A Neijenhuis, S F Durmaz, T H J Aufenacker, N Hugen, M van Basten Batenburg, M Westerterp, J van Groningen, W J de Jong, R J Renger, F Logeman, G Slooter, K Arts, J Wegdam, G Meisen, B Wiering, H C J van der Mijle, I Paulusma, M van der Sluis, K Havenga, J P M Burbach, E J B Furnee, B Polle, C Hoff, F Poelmann, T L R Zwols, T C van Sprundel, S C Veltkamp, M van de Wilt, W J Vles, A Kamman, H Schippers, R L van der Hul, A Breijer, W Kelder, B van den Hengel, R Klicks, E F Kelling, A P J Houdijk, L Heijnen, F Wit, M Dam, M Raber, D J L M de Mey, W van den Broek, L Verslijs, G W de Klein, W M J de Ruijter, R de Vos Tot Nederveen Cappel

Affiliations

¹ Department of Surgery, St Antonius Hospital, Nieuwegein, The Netherlands.
² Valued Based Healthcare, St Antonius Hospital, Nieuwegein, The Netherlands.

PMID: 37194457
PMCID: PMC10189278
DOI: 10.1093/bjsopen/zrad038

Use of ileostomy versus colostomy as a bridge to surgery in left-sided obstructive colon cancer: retrospective cohort study

Bo P Smalbroek et al. BJS Open. 2023.

. 2023 May 5;7(3):zrad038.

doi: 10.1093/bjsopen/zrad038.

Collaborators

Dutch Snapshot Research Group:
F J Amelung, E C J Consten, T A Burghgraef, D A Hess, R Roukema, A Demirkiran, M Tenhagen, J Straatman, G Nieuwenhuijzen, H J T Rutten, G Vugts, B Inberg, A Kreiter, S Scheurs, M F Gerhards, R L G M Blom, M J A M Russchen, A van den Berg, J W T Dekker, H P Versteegh, F W H Kloppenberg, I S Bakker, J T H Hamminga, J L M Konsten, M van Heinsbergen, S T van Vugt, J E Bouwman, J T Heikens, A van den Berg, M Takkenberg, L Graat, A J N M Bastiaansen, E A Gorter, J W S Merkus, E G Boerma, L Koolen, D Jean Pierre, E van der Harst, W Hogendoorn, L H Wijngaarden, R T J Kortekaas, M C Struijs, N Heuchemer, P Fockens, E E van Halsema, W A A Borstlap, P J Tanis, J Veld, W A Bemelman, D D Wisselink, A C H M Jongen, V N E Schuermans, N D Bouvy, C S Andeweg, J W Foppen, J Heemskerk, J Scheerhoorn, P van der Sluis, N Smakman, E R J Bruns, E S van der Zaag, H J Schuiten, T Argillander, K Parry, D Lips, H Algera, P Poortman, C Steur, H A Swank, B Lamme, M N N J Arron, D van Uden, P D Siersema, J H W de Wilt, L Daniels, D J A Sonneveld, K Nielsen, I Masselink, L M Lutke Holzik, G Lo, A G Menon, J F Lange, B J van Wely, A van Esch, D E Moes, B M M Reuber, B H M Heijnen, I de Groot-van Veen, A W H van de Ven, C C M Marres, H E Haak, M Vermaas, P van Hagen, H L van Westreenen, J W A de Haas, J M Klaase, M J F van Veen, A Mearadji, J Heeren, R Silvis, J A M G Tol, C J L Molenaar, J A van Essen, T Lettinga, L Verkoele, G L Beets, D D E Zimmerman, Y T van Loon, P Oomen, H S de Vries, J E van Hooft, K C M J Peeters, N D A Boye, F Ter Borg, A K Talsma, A A Wijkmans, A A W van Geloven, N van Oorschot, B Blomberg, W M U van Grevenstein, J L Tolenaar, F C den Boer, J C Sierink, T Paulides, B M M Reiber, B van de Beukel, J B Tuynman, H T Bransma, A R M Brandt-Kerkhof, M E E Bröker, R M P H Crolla, J van der Slegt, T L Janssen, C Werker, H J Schuijt, M J Wiezer, K van Dongen, V Kornmann, L Tseng, D Smit, C Sietses, T Visser, G D Algie, M J Nieboer, P A Neijenhuis, S F Durmaz, T H J Aufenacker, N Hugen, M van Basten Batenburg, M Westerterp, J van Groningen, W J de Jong, R J Renger, F Logeman, G Slooter, K Arts, J Wegdam, G Meisen, B Wiering, H C J van der Mijle, I Paulusma, M van der Sluis, K Havenga, J P M Burbach, E J B Furnee, B Polle, C Hoff, F Poelmann, T L R Zwols, T C van Sprundel, S C Veltkamp, M van de Wilt, W J Vles, A Kamman, H Schippers, R L van der Hul, A Breijer, W Kelder, B van den Hengel, R Klicks, E F Kelling, A P J Houdijk, L Heijnen, F Wit, M Dam, M Raber, D J L M de Mey, W van den Broek, L Verslijs, G W de Klein, W M J de Ruijter, R de Vos Tot Nederveen Cappel

Affiliations

¹ Department of Surgery, St Antonius Hospital, Nieuwegein, The Netherlands.
² Valued Based Healthcare, St Antonius Hospital, Nieuwegein, The Netherlands.

PMID: 37194457
PMCID: PMC10189278
DOI: 10.1093/bjsopen/zrad038

Abstract

Background: Colorectal cancer causes the majority of large bowel obstructions and surgical resection remains the gold standard for curative treatment. There is evidence that a deviating stoma as a bridge to surgery can reduce postoperative mortality rate; however, the optimal stoma type is unclear. The aim of this study was to compare outcomes between ileostomy and colostomy as a bridge to surgery in left-sided obstructive colon cancer.

Methods: This was a national, retrospective population-based cohort study with 75 contributing hospitals. Patients with radiological left-sided obstructive colon cancer between 2009 and 2016, where a deviating stoma was used as a bridge to surgery, were included. Exclusion criteria were palliative treatment intent, perforation at presentation, emergency resection, and multivisceral resection.

Results: A total of 321 patients underwent a deviating stoma; 41 (12.7 per cent) ileostomies and 280 (87.2 per cent) colostomies. The ileostomy group had longer length of stay (median 13 (interquartile range (i.q.r.) 10-16) versus 9 (i.q.r. 6-14) days, P = 0.003) and more nutritional support during the bridging interval. Both groups showed similar complication rates in the bridging interval and after primary resection, including anastomotic leakage. Stoma reversal during resection was more common in the colostomy group (9 (22.0 per cent) versus 129 (46.1 per cent) for ileostomy and colostomy respectively, P = 0.006).

Conclusion: This study demonstrated that patients having a colostomy as a bridge to surgery in left-sided obstructive colon cancer had a shorter length of stay and lower need for nutritional support. No difference in postoperative complications were found.

PubMed Disclaimer

Figures

**Fig. 1**
Flow chart of patient inclusion

See this image and copyright information in PMC

References

1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal Aet al. . Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2021;71:209–249 - PubMed
1. Frago R, Ramirez E, Millan M, Kreisler E, del Valle E, Biondo S. Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg 2014;207:127–138 - PubMed
1. Kolfschoten NE, Wouters MWJM, Gooiker GA, Eddes EH, Kievit J, Tollenaar RAEMet al. . Nonelective colon cancer resections in elderly patients: results from the Dutch surgical colorectal audit. Dig Surg 2012;29:412–419 - PubMed
1. Veld JV, Amelung FJ, Borstlap WAA, van Halsema EE, Consten ECJ, Dekker JWTet al. . Decompressing stoma a s bridge to elective surgery is an effective strategy for left-sided obstructive colon cancer: a national, propensity-score matched study. Ann Surg 2020;272:738–743 - PubMed
1. Amelung FJ, Burghgraef TA, Tanis PJ, van Hooft JE, Ter Borg F, Siersema PDet al. . Critical appraisal of oncological safety of stent as bridge to surgery in left-sided obstructing colon cancer; a systematic review and meta-analysis. Crit Rev Oncol Hematol 2018;131:66–75 - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Use of ileostomy versus colostomy as a bridge to surgery in left-sided obstructive colon cancer: retrospective cohort study

Collaborators

Affiliations

Use of ileostomy versus colostomy as a bridge to surgery in left-sided obstructive colon cancer: retrospective cohort study

Authors

Collaborators

Affiliations

Abstract

Figures

References

MeSH terms

LinkOut - more resources

Full Text Sources