Current use of diverting stoma in anterior resection for cancer: population-based cohort study of total and partial mesorectal excision

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

Search: id:"swepub:oai:DiVA.org:umu-118987" > Current use of dive...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Rutegård, MartinUmeå universitet,Kirurgi (author)

Current use of diverting stoma in anterior resection for cancer : population-based cohort study of total and partial mesorectal excision

Article/chapterEnglish2016

Publisher, publication year, extent ...

2015-12-15
Springer Science and Business Media LLC,2016
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:umu-118987
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-118987URI
https://doi.org/10.1007/s00384-015-2465-6DOI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

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

Notes

Purpose A diverting stoma is commonly used to reduce the risk of anastomotic leakage when performing total mesorectal excision (TME) in anterior resection for rectal cancer. The purpose of this study was to evaluate the impact of fecal diversion in relation to partial mesorectal excision (PME).Methods A retrospective analysis was undertaken on a national cohort, originally created to study the impact of central arterial ligation on patients with increased cardiovascular risk. Some 741 patients operated with anterior resection for rectal cancer during the years 2007 through 2010 were followed up for 53 months. Multivariate logistic regression was used to evaluate the impact of diverting stoma on the risk of anastomotic leakage and permanent stoma, expressed as odds ratios (ORs) and 95 % confidence intervals (CIs).Results The risk of anastomotic leakage was increased in TME surgery when not using a diverting stoma (OR 5.1; 95 % CI 2.2-11.6), while the corresponding risk increase in PME patients was modest (OR 1.8; 95 % CI 0.8-4.0). At study completion or death, 26 and 13 % of TME and PME patients, respectively, had a permanent stoma. A diverting stoma was a statistically significant risk factor for a permanent stoma in PME patients (OR 4.7; 95 % CI 2.5-9.0), while less important in TME patients (OR 1.8; 95 % CI 0.6-5.5).Conclusion The benefit of a diverting stoma concerning anastomotic leakage in this patient group seems doubtful. Moreover, the diverting stoma itself may contribute to the high rate of permanent stomas.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Gastroenterologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Gastroenterology and Hepatology hsv//eng
Rectal cancer
Defunctioning stoma
Fecal diversion
Permanent stoma

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

Boström, PetrusUmeå universitet,Kirurgi(Swepub:umu)pebo0022 (author)
Haapamäki, MarkkuUmeå universitet,Kirurgi(Swepub:umu)maha0047 (author)
Matthiessen, Peter (author)
Rutegård, JörgenUmeå universitet,Kirurgi(Swepub:umu)jaru0001 (author)
Umeå universitetKirurgi (creator_code:org_t)

Related titles

In:International Journal of Colorectal Disease: Springer Science and Business Media LLC31:3, s. 579-5850179-19581432-1262

Internet link

Find in a library

International Journal of 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: Rutegård, Martin; Boström, Petrus; Haapamäki, Markk ...; Matthiessen, Pet ...; Rutegård, Jörgen

About the subject

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

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

Articles in the publication: International Jo ...

By the university: Umeå 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