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Loop-ileostomy reversal in a 23-h stay setting is safe with high patient satisfaction
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- Afshari, Kevin (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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- Nikberg, Maziar, 1975- (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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- Smedh, Kennet (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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- (creator_code:org_t)
- 2021-07-05
- 2021
- English.
- In: Scandinavian Journal of Gastroenterology. - : Taylor & Francis Group. - 0036-5521 .- 1502-7708. ; 56:9, s. 1126-1130
- Journal article (peer-reviewed)
Abstract
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Ileostomy closure
- ileostomy reversal
- day-case
- ·23-h stay
- diverting ileostomy closure
- patient experience
Publication and Content Type
- ref (subject category)
- art (subject category)
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