Reversal of defunctioning stoma following rectal cancer surgery: are we getting better? A population-based single centre experience

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Gadan, Soran,1976-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Surgery, Örebro University Hospital, Örebro, Sweden (författare)

Reversal of defunctioning stoma following rectal cancer surgery : are we getting better? A population-based single centre experience

Artikel/kapitelEngelska2019

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2019-02-25
Wiley-Blackwell Publishing Inc.2019
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LIBRIS-ID:oai:DiVA.org:oru-72878
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-72878URI
https://doi.org/10.1111/ans.14990DOI

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Språk:engelska
Sammanfattning på:engelska

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Funding Agency:Örebro County Council, Örebro, Sweden OL-693821
BACKGROUND: The aim was to assess factors influencing the timing of defunctioning stoma (DS) reversal following low anterior resection of rectum for cancer (LAR).METHODS: All patients operated with LAR and a primary DS during a 9-year period were included. Reversal later than 120 days after LAR was considered as delayed. A DS not reversed within 2 years was considered as permanent.RESULTS: In the present study, median age at LAR was 67 years, 45% were females, median body mass index was 25, 87% had American Society of Anesthesiologists class I or II, 64% had pre-operative radiotherapy, and 3% had cancer stage IV. A total of 79% (92/116) underwent stoma reversal, whereof 25% (23/92) were reversed within 120 days. The most common health-related reasons for delayed stoma reversal were adjuvant chemotherapy in 38%, symptomatic anastomotic leakage in 16% and other post-operative adverse events in 13%. In 35% delayed stoma reversal was because of low priority within the healthcare system. A total of 18% (20/110) never had their DS reversed (n = 11) or had their DS converted to a permanent end colostomy (n = 9). Major risk factors for permanent stoma were stage IV cancer in 55%, and symptomatic anastomotic leakage in 30%.CONCLUSION: One fourth of the patients had their defunctioning stoma reversed within 120 days. The most common identifiable medical reasons for delayed stoma reversal were adjuvant chemotherapy and symptomatic anastomotic leakage, while in one out of three patients it was because of low priority by the healthcare provider.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Defunctioning stoma
low anterior resection
rectal cancer

Biuppslag (personer, institutioner, konferenser, titlar ...)

Lindgren, RickardDepartment of Surgery, Örebro University Hospital, Örebro, Sweden (författare)
Floodeen, HannahDepartment of Surgery, Örebro University Hospital, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden (författare)
Matthiessen, PeterDepartment of Surgery, Örebro University Hospital, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden (författare)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

Sammanhörande titlar

Ingår i:ANZ journal of surgery: Wiley-Blackwell Publishing Inc.89:4, s. 403-4071445-14331445-2197

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ANZ journal of surgery (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Gadan, Soran, 19 ...; Lindgren, Rickar ...; Floodeen, Hannah; Matthiessen, Pet ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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Av lärosätet: Örebro universitet

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