Low preoperative maximum squeezing pressure evaluated by anorectal manometry is a risk factor for non-reversal of diverting stoma
| Autor: | Koji Murono, Yasutaka Shuno, Hirofumi Sonoda, Shigenobu Emoto, Hiroaki Nozawa, Toshiaki Tanaka, Yugo Hirata, Hiroaki Ishii, Kazushige Kawai, Risa Fukui, Kazuhito Sasaki, Soichiro Ishihara, Keisuke Hata, Manabu Kaneko, Takeshi Nishikawa |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Manometry medicine.medical_treatment digestive system 03 medical and health sciences Ileostomy 0302 clinical medicine Stoma (medicine) Risk Factors medicine Humans Retrospective Studies business.industry Rectal Neoplasms Anorectal manometry Infant Newborn Surgical Stomas Vascular surgery Anus digestive system diseases Surgery surgical procedures operative medicine.anatomical_structure Peristomal Skin Cardiothoracic surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | Langenbeck's archives of surgery. 406(1) |
| ISSN: | 1435-2451 |
| Popis: | A diverting stoma is created to prevent anastomotic leakage and related complications impairing sphincteric function in rectal surgery. However, diverting stoma may be left unclosed. This study is aimed to analyze preoperative factors including anorectal manometric data associated with diverting stoma non-reversal before rectal surgery. We also addressed complications related to diverting stoma in patients undergoing surgery for rectal malignant tumor. A total of 203 patients with rectal malignant tumor who underwent sphincter-preserving surgery with diverting stoma were retrospectively evaluated. The risk factors for non-reversal of diverting stoma were identified by univariate and multivariate analyses. For these analyses, anorectal manometric data were measured before rectal surgery. The association between stoma-related complications and other clinicopathological features was also analyzed. During the median follow-up of 46.4 months, 24% (49 patients) did not undergo stoma reversal. Among parameters that were available before rectal surgery, age ≥ 75 years, albumin |
| Databáze: | OpenAIRE |
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