Organ/space infection is a common cause of high output stoma and outlet obstruction in diverting ileostomy

Autor: Takuya Miura, Hayato Nagase, Yutaro Hara, Yoshiyuki Sakamoto, Kenichi Hakamada, Hajime Morohashi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Surgery, Vol 20, Iss 1, Pp 1-7 (2020)
BMC Surgery
ISSN: 1471-2482
DOI: 10.1186/s12893-020-00734-7
Popis: Background The objectives of this study are to identify causes of high-output stoma (HOS) and outlet obstruction (OO), which are major complications of diverting ileostomy. Methods A retrospective analysis was performed in 103 patients who underwent colorectal surgery and diverting ileostomy between December 2015 and November 2018. Results HOS was found in 32 patients (31.1%) and OO in 19 (18.4%). Organ/space surgical site infection (SSI), anastomotic leakage and OO were significant HOS-related factors in univariate analysis, and OO (odds ratio [OR] 3.39, p = 0.034) was a independent HOS-related factor in multivariate analysis. Organ/space SSI and male were significant OO-related factors in univariate analysis, and organ/space SSI (OR 3.77, p = 0.018) was a independent OO-related factor in multivariate analysis. The white blood cell (WBC) count on postoperative day (POD) 3 was significantly higher in the HOS group compared to the non-HOS group (9765 vs. 8130 /mL, p p p Conclusion Organ/space infection is involved in the common pathology of HOS and OO. Decreased intestinal absorption due to intestinal edema caused by organ/space SSI and relative stenosis at the abdominal wall-penetrating site are major causes of HOS and OO.
Databáze: OpenAIRE
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