id:"swepub:oai:DiVA.org:uu-165824"
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- Gustavsson, KajsaKarolinska Institutet (author)
Postoperative complications after closure of a diverting ileostoma-differences according to closure technique
- Article/chapterEnglish2012
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- 2011-08-16
- Springer Science and Business Media LLC,2012
- printrdacarrier
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- LIBRIS-ID:oai:DiVA.org:uu-165824
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-165824URI
- https://doi.org/10.1007/s00384-011-1287-4DOI
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-83424URI
- http://kipublications.ki.se/Default.aspx?queryparsed=id:124040676URI
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- Language:English
- Summary in:English
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- PURPOSE: The aim of this study was to compare three methods for closure of a diverting ileostoma according to development of postoperative small-bowel obstruction (SBO) and anastomotic leakage (AL). METHODS: Complications arising within 30 days after closure of a defunctioning loop ileostomy in 351 patients during the period 1999-2006 were studied retrospectively by evaluation of case records. The techniques employed were: hand-sewn anastomosis without bowel resection, hand-sewn anastomosis with bowel resection and stapled anastomosis. RESULTS: Of the 351 patients, 149 had a hand-sewn anastomosis without bowel resection (HS), 70 had a hand-sewn anastomosis with bowel resection (HSR) and 132 patients had a stapled anastomosis (S). The total number of SBOs was 44 patients (12.5%). In the two hand-sewn groups, 15.5% (34 patients) suffered postoperative SBO compared to 7.6% (10 patients) in the stapled group (p = 0.029). No difference in AL could be found between the groups, where the overall frequency was 2.8% (10 patients). Median hospital stay was 6 days in the HS group, 5 days in the HSR group and 4 days in the S group (p = 0.001). CONCLUSION: In the present study, stapled anastomosis was associated with a lower frequency of postoperative SBO and a shorter hospital stay compared to sutured anastomosis (either with or without a short small-bowel resection) after closure of a diverting ileostoma.
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- Gunnarsson, Ulf,1967-Karolinska Institutet(Swepub:umu)ulgu0014 (author)
- Jestin, PiaUppsala universitet,Kolorektalkirurgi(Swepub:uu)pijes226 (author)
- Karolinska InstitutetKolorektalkirurgi (creator_code:org_t)
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