Loop-ileostomy reversal in a 23-h stay setting is safe with high patient satisfaction

Afshari, KevinUppsala universitet,Centrum för klinisk forskning, Västerås (author)

Introduction: This study aimed to determine whether day-case closure of loop ileostomy with discharge within 23 h was both feasible and accepted by patients.Materials and methods: We conducted a prospective pilot study where selected rectal cancer patients with diverting loop ileostomy underwent stoma closure in a 23-h stay setting. Patients were followed up on the third, seventh, and 30th postoperative day and phoned daily during the first week. A comparable group of 30 patients who underwent standard in-hospital stoma closure prior to the start of the study were selected retrospectively as historical controls.Results: In total, 30 patients (median age, 67 years; range, 41-79 years) were included. All patients met discharge criteria and were discharged within 23 h of surgery, except one. In total, seven patients (23%) were admitted. Two of these patients underwent laparotomy because of anastomotic leakage and small bowel obstruction, respectively. The mean total length of stay was 1.7 days. Most patients (87%) were satisfied with the treatment without feeling neglected or anxious and preferred the 23-h stay setting. In the control group, the mean length of stay was 5 days. Seven patients (23%) were readmitted. Two of these patients underwent laparotomy because of small bowel obstruction and abscess, respectively.Conclusion: Ileostomy closure in a 23-h stay setting in selected patients with meticulous follow up is feasible and safe with high patient satisfaction.

Nikberg, Maziar,1975-Uppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)mazho292 (author)
Smedh, KennetUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)kensm722 (author)
Chabok, Abbas,1964-Uppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)abbch956 (author)
Uppsala universitetCentrum för klinisk forskning, Västerås (creator_code:org_t)

In:Scandinavian Journal of Gastroenterology: Taylor & Francis Group56:9, s. 1126-11300036-55211502-7708

By the author/editor: Afshari, Kevin; Nikberg, Maziar, ...; Smedh, Kennet; Chabok, Abbas, 1 ...

About the subject

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

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