Postoperative Ileus after Stimulation with Probiotics before Ileostomy Closure
| Autor: | Germán Morales-Martín, Rafael Balongo-García, Carlos Ruiz-Frutos, Rocío Pérez-Quintero, Juan Gómez-Salgado, Ángela Rodríguez-Padilla |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Colorectal cancer medicine.medical_treatment efferent loop stimulation Oncological surgery Stimulation postoperative ileus 0302 clinical medicine Postoperative Complications Prospective Studies Ileostomy closure Aged 80 and over Nutrition and Dietetics Ileostomy Incidence respiratory system Middle Aged Colorectal surgery surgical procedures operative Treatment Outcome protective ileostomy 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Colorectal Neoplasms lcsh:Nutrition. Foods and food supply medicine.medical_specialty Postoperative ileus lcsh:TX341-641 Article 03 medical and health sciences ileostomy closure Ileus Double-Blind Method parasitic diseases Preoperative Care medicine Humans In patient Aged business.industry Probiotics Carcinoma Length of Stay medicine.disease digestive system diseases Surgery Intestinal Diseases business Food Science |
| Zdroj: | Arias Montano. Repositorio Institucional de la Universidad de Huelva instname Nutrients, Vol 13, Iss 626, p 626 (2021) Nutrients Volume 13 Issue 2 |
| Popis: | Loop ileostomy closure after colorectal surgery is often associated with Postoperative ileus, with an incidence between 13–20%. The aim of this study is to evaluate the efficacy and safety of preoperative stimulation of the efferent loop with probiotics prior to ileostomy closure in patients operated on for colorectal carcinoma. For this, a prospective, randomized, double-blind, controlled study is designed. All patients who underwent surgery for colorectal carcinoma with loop ileostomy were included. Randomized and divided into two groups, 34 cases and 35 controls were included in the study. Postoperative ileus, the need for nasogastric tube insertion, the time required to begin tolerating a diet, restoration of bowel function, and duration of hospital stay were evaluated. The incidence of Postoperative ileus was similar in both groups, 9/34 patients stimulated with probiotics and 10/35 in the control group (CG) with a p = 0.192. The comparative analysis showed a direct relationship between Postoperative ileus after oncological surgery and Postoperative ileus after reconstruction surgery, independently of stimulation. Postoperative ileus after closure ileostomy is independent of stimulation of the ileostomy with probiotics through the efferent loop. There seem to be a relationship between Postoperative ileus after reconstruction and the previous existence of Postoperative ileus after colorectal cancer surgery. |
| Databáze: | OpenAIRE |
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