Complications of loop ileostomy and ileostomy closure and their implications for extended enterostomal therapy: a prospective clinical study
| Autor: | B.N.L. Munasinghe, K.I. Deen, M.M.G. Rathnayake, M.H.J. Ariyaratne, S.R.E. Wijesuriya, S.K. Kumarage |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Fistula medicine.medical_treatment Enterostomal therapist Workload Nurse's Role Ileostomy medicine Intestinal Fistula Humans Surgical Wound Infection Hernia Hirschsprung Disease Prospective Studies Abscess Prospective cohort study General Nursing Health Services Needs and Demand business.industry Rectal Neoplasms Vaginal Fistula Nursing Audit Rectovaginal Fistula medicine.disease Skin Care Ulcerative colitis Long-Term Care Surgery Hernia Abdominal Bowel obstruction Adenomatous Polyposis Coli Nursing Evaluation Research Colitis Ulcerative Female business Nurse Clinicians Intestinal Obstruction |
| Zdroj: | International journal of nursing studies. 45(8) |
| ISSN: | 0020-7489 |
| Popis: | Introduction Patients who have a temporary loop ileostomy have impaired quality of life. Complications associated with a loop ileostomy or ileostomy closure will impair patients' quality of life further and require extended enterostomal therapy. We performed a prospective audit of loop ileostomy to ascertain the nature of the workload that may be created with ileostomy-related complications. Patients and methods One hundred and forty patients (67 males, 73 females, median age 50 years, range 5–90 years) who received a temporary loop ileostomy were analysed after completion of proformas on a prospective basis between 1999 and 2006. Results Operation was performed for rectal cancer 100 (71%), familial adenomatous polyposis 14 (10%), ulcerative colitis 21 (15%) and for trauma or Hirchsprung's disease 5 (3%). Complications of loop ileostomy were: retraction 1 (0.7%), ileostomy flux 11 (8%), stomal prolapse 1 (0.7%), parastomal hernia 1 (0.7%), paraileostomy abscess 4 (3%) and severe skin excoriation 9 (6%). The loop ileostomy was reversed in 117 (83%) at a median (range) of 13 weeks (1–60). Ileostomy closure-related complications were: small bowel fistula 1 (0.9%), small bowel obstruction 5 (4.3%) and a stitch sinus in 1 (0.9%). Five women developed recto-vaginal fistula ( n =3; 2.6%), pouch-vaginal fistula ( n= 1; 0.9%) and pouch-anal fistula ( n =1; 0.9%) that required extended enterostomal therapy, after loop ileostomy reversal. Conclusion Nineteen percent of patients following creation of a loop ileostomy and 10.5% of patients after reversal of the ileostomy required extended enterostomal care by a specialized enterostomal therapist, which supported resumption of a normal life. |
| Databáze: | OpenAIRE |
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