id:"swepub:oai:DiVA.org:oru-49021"
Sökning: id:"swepub:oai:DiVA.org:oru-49021" > Defunctioning stoma...
- 1 av 1
- Föregående post
- Nästa post
- Till träfflistan
| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03934nam a2200469 4500 | |
| 001 | oai:DiVA.org:oru-49021 | |
| 003 | SwePub | |
| 008 | 160308s2016 | |||||||||||000 ||eng| | |
| 020 | a 9789175291390q print | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-490212 URI |
| 040 | a (SwePub)oru | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a vet2 swepub-contenttype |
| 072 | 7 | a dok2 swepub-publicationtype |
| 100 | 1 | a Floodeen, Hannah,d 1981-u Örebro universitet,Institutionen för medicinska vetenskaper4 aut0 (Swepub:oru)hfn |
| 245 | 1 0 | a Defunctioning stoma in low anterior resection of the rectum for cancer :b Aspects of stoma reversal, anastomotic leakage, anorectal function, and cost-effectiveness |
| 264 | 1 | a Örebro :b Örebro university,c 2016 |
| 300 | a 56 s. | |
| 338 | a electronic2 rdacarrier | |
| 490 | 0 | a Örebro Studies in Medicine,x 1652-4063 ;v 143 |
| 520 | a Rectal cancer is a common malignancy treated with surgical resection and curative intent in the majority of cases. One treatment option is low anterior resection (LAR) with preserved bowel continuity, often involving the formation of a temporary defunctioning stoma (DS).The general aim of this thesis was to improve understanding of the role of DS in rectal cancer surgery with regard to timing of stoma reversal and development of anastomotic leakage (AL), impact on long-term anorectal function (AF), as well as aspects of cost-effectiveness.Study I addressed the timing of stoma reversal following LAR. We found that 19% of reversed patients were reversed within 4 months of LAR, while 81% of reversals were delayed. In 58% of delayed reversals the delay was due to low priority on surgical waiting lists.Studies II-IV were based on 234 patients randomized to receive a DS or no DS following LAR. Study II compared patients with AL following LAR diagnosed during the initial hospital stay (early leakage, EL) with patients diagnosed after hospital discharge (late leakage, LL). LL was more common in females, and originated more frequently from the transverse stapler line. EL was more common in males, and originated more frequently from the circular stapler line. Study III assessed AF 5 years after LAR with regard to whether patients initially had a DS or no DS. We found no difference in AF between the two randomized groups. When comparing with a 1-year follow-up in the same patient cohort, there were no further changes in AF over time. Study III assessed necessary healthcare resources and cost within 5 years of LAR, depending on whether patients initially had a DS or no DS. The overall cost analysis revealed a higher cost for patients randomized to DS, regardless of the cost-savings associated with a reduced frequency of anastomotic leakage. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
| 653 | a rectal cancer | |
| 653 | a low anterior resection | |
| 653 | a defunctioning stoma | |
| 653 | a stoma reversal | |
| 653 | a anastomotic leakage | |
| 653 | a anorectal function | |
| 653 | a costs | |
| 653 | a resources | |
| 653 | a Surgery | |
| 653 | a Kirurgi | |
| 700 | 1 | a Matthiessen, Peter,c Docentu Region Örebro län4 ths |
| 700 | 1 | a Hallböök, Olof4 ths |
| 700 | 1 | a Mortensen, Neil,c Professoru Nuffield Department of Surgery, Oxford University, Storbritannien4 opn |
| 710 | 2 | a Örebro universitetb Institutionen för medicinska vetenskaper4 org |
| 856 | 4 | u https://oru.diva-portal.org/smash/get/diva2:910029/FULLTEXT01.pdfx primaryx Raw objecty fulltext |
| 856 | 4 | u https://oru.diva-portal.org/smash/get/diva2:910029/COVER01.pdfy cover |
| 856 | 4 | u https://oru.diva-portal.org/smash/get/diva2:910029/FULLTEXT02.pdfy spikblad |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-49021 |
Hitta via bibliotek
- Defunctioning stoma in low anterior resection of the rectum for cancer Aspects o... (Sök publikationen i LIBRIS)
Till lärosätets databas
- 1 av 1
- Föregående post
- Nästa post
- Till träfflistan
Hitta mer i SwePub
- Av författaren/redakt...
- Floodeen, Hannah ...
- Matthiessen, Pet ...
- Hallböök, Olof
- Mortensen, Neil, ...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
- MEDICIN OCH HÄLS ...
- och Klinisk medicin
- och Kirurgi
- Delar i serien
- Örebro Studies i ...
- Av lärosätet
- Örebro universitet
Sök utanför SwePub
- Sök vidare i:
- 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.
- Copyright © LIBRIS - Nationella bibliotekssystem
- LIBRIS.kb.se
