Long-term outcome and quality of life after continent ileostomy for ulcerative colitis: A systematic review

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: onr:"swepub:oai:DiVA.org:liu-179960" > Long-term outcome a...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Deputy, MohammedSt Marks Hosp & Acad Inst, England; Imperial Coll London, England (author)

Long-term outcome and quality of life after continent ileostomy for ulcerative colitis : A systematic review

Article/chapterEnglish2021

Publisher, publication year, extent ...

2021-07-18
Wiley,2021
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:liu-179960
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-179960URI
https://doi.org/10.1111/codi.15788DOI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:for swepub-publicationtype

Notes

Aim The continent ileostomy allows evacuation of an ileal reservoir at a time convenient to the patient. It is a surgical option for patients with ulcerative colitis (UC) when a restorative option is not suitable or has not succeeded and the patient does not want a conventional end ileostomy. Continent ileostomy types include the Kock pouch, Barnett continent intestinal reservoir and T-pouch. All of the published evidence on the long-term outcome and quality of life after continent ileostomy for UC was systematically reviewed. Methods A systematic review was performed in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies published between 1990 and 2020 were included. A descriptive synthesis was used due to the clinical heterogeneity. Results The search returned 1655 abstracts and after screening of abstracts and full text review, 19 were included in the final review, involving 1602 patients. Operative mortality is low (0%-3.6%) after all types of continent ileostomy but reoperation rates are high (20.8%-65%) because of valve mechanism failures. Rates of fistulae (0%-25.5%) and stomal stenosis (0%-25%) can be relatively high postoperatively. Quality of life scores improve for most patients undergoing continent ileostomy, especially for patients converted from ileal pouch anal anastomosis. Overall, continent ileostomy retention is high in the long-term. Discussion In the long-term, patients report high satisfaction and a good quality of life with continent ileostomy, despite high reoperation rates and complications. Newer technologies may reinvigorate interest in the continent ileostomy for this population.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
continent ileostomy; ulcerative colitis

Added entries (persons, corporate bodies, meetings, titles ...)

Worley, GuySt Marks Hosp & Acad Inst, England; Imperial Coll London, England (author)
Patel, KomalSt Marks Hosp & Acad Inst, England; Imperial Coll London, England (author)
Fletcher, JordanSt Marks Hosp & Acad Inst, England; Imperial Coll London, England (author)
Hart, AilsaSt Marks Hosp & Acad Inst, England; Imperial Coll London, England (author)
Block, MattiasSalhgrenska Univ Hosp, Sweden (author)
Oresland, TomAkershus Univ Hosp, Norway; Univ Oslo, Norway (author)
Myrelid, PärLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)parmy24 (author)
Faiz, OmarSt Marks Hosp & Acad Inst, England; Imperial Coll London, England (author)
St Marks Hosp & Acad Inst, England; Imperial Coll London, EnglandSalhgrenska Univ Hosp, Sweden (creator_code:org_t)

Related titles

In:Colorectal Disease: Wiley23:9, s. 2286-22991462-89101463-1318

Internet link

Find in a library

Colorectal Disease (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Deputy, Mohammed; Worley, Guy; Patel, Komal; Fletcher, Jordan; Hart, Ailsa; Block, Mattias; show more...; Oresland, Tom; Myrelid, Pär; Faiz, Omar; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: Colorectal Disea ...

By the university: Linköping University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se