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Purpose Even though minor, stoma-related complications significantly impact quality of life, they are often excluded from clinical analyses that compare short-term postoperative outcomes of loop ileostomy (LI) and loop colostomy (LC). This study compares stoma-related complications between LI and LC after rectal resection, including minor complications, and discusses the characteristics of diverting stoma (DS) types. Methods A retrospective review was conducted in patients who underwent DS construction after rectal resection. Data on patient background and postoperative short-term outcomes, including stoma-related complications and morbidity after stoma closure, were collected and compared between LI and LC groups. Morbidities of all severity grades were targeted for analysis. Results A total of 47 patients (27 LI, 20 LC) underwent DS construction following rectal resection. Overall stoma-related complications, incidence of skin irritation, high-output stoma, and outlet obstruction were found to be significantly higher in the LI group. In addition, high-output stoma and outlet obstruction were absent in the LC group. Regarding morbidity after stoma closure, operation times and surgical site infections were significantly higher in the LC group while anastomotic leakage after DS closure occurred (2 cases; 15%) in the LC group but not the LI group. Conclusion Because stoma-related complications were found to be significantly higher in the LI group, and even these minor complications may impair patient’s QOL, early LI closure is recommended. For LC, stoma-related morbidities are lower but post-closure leakage is a calculated risk. |
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