Document Detail


Long-term ileostomy complications in patients with ulcerative colitis and Crohn's disease.
MedLine Citation:
PMID:  3509966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ileostomy complications in 203 patients operated on with proctocolectomy and ileostomy for ulcerative colitis and Crohn's disease were investigated prospectively. The patients were examined at regular intervals by interview and thorough examination of the stoma. Stomal dysfunction was carefully assessed and patients presenting with surgical complications were admitted for reconstruction. The crude rate of ileostomy complications necessitating reconstruction was 34% and significantly higher in patients with Crohn's disease compared with patients with ulcerative colitis. The cumulative rate of surgical revision after 8 years was 75% in the former group and 44% in the latter. Ileostomy stenosis and sliding recession were the two most common indications for reconstruction. Eighty-three per cent of the revisions were performed as local procedures, making a formal laparotomy unnecessary. Causative factors such as surgical technique, length of concomittant ileal resection and postoperative weight gain were analysed for possible influence on the rate of reconstruction, but no significant association was identified.
Authors:
A Carlstedt; S Fasth; L Hultén; S Nordgren; I Palselius
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of colorectal disease     Volume:  2     ISSN:  0179-1958     ISO Abbreviation:  Int J Colorectal Dis     Publication Date:  1987 Feb 
Date Detail:
Created Date:  1987-08-10     Completed Date:  1987-08-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  22-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Colitis, Ulcerative / surgery*
Crohn Disease / surgery*
Female
Follow-Up Studies
Humans
Ileostomy / adverse effects*
Male
Middle Aged
Postoperative Complications / epidemiology*
Prospective Studies
Reoperation
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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