Risk factors for postoperative ileus following loop ileostomy closure

Basit Öğe Kaydı
dc.authoridAktas, Aydin/0000-0003-3407-0210
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidAktas, Aydin/AAC-3425-2021
dc.contributor.authorAktas, Aydin
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorAtes, Mustafa
dc.contributor.authorDirican, Abuzer
dc.date.accessioned2024-08-04T20:10:03Z
dc.date.available2024-08-04T20:10:03Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: The most common intra-abdominal complication following loop ileostomy closure (LIC) is postoperative ileus (POI). The aim of the study was to determine the risk factors of POI development following LIC and make recommendations for its prevention. Material and Methods: In this study, patients having undergone LIC with peristomal incision following distal colorectal surgery were included. Clavien-Dindo classification was used to evaluate postoperative complications. POI and postoperative leakage were defined based on clinical and radiological criteria. The Centers for Disease Control and Prevention 2017 criteria were used to diagnose surgical site infection (SSI). Postoperative bleeding was diagnosed one day after surgery if there was a >2 g/dL or >= 15% decrease in the hemoglobin level. Results: Seventy-nine patients were included into the study. In nine of the patients POI developed, six had SSI, five had postoperative bleeding, and two had anastomosis leakage. In the univariate analysis; age <60 years (p=0.02), presence of comorbidity (p=0.007), using an open technique in the first surgery (p=0.02), performing total colectomy in the first surgery (p=0.048), performing hand-sewn anastomosis of LIC (p=0.01), and postoperative blood transfusion (p=0.04) were found to be risk factors for POI. Performing hand-sewn anastomosis of LIC (p=0.03) and using an open technique in the first surgery (p=0.03) were found to be independent variables for POI risk. Conclusion: Using an open technique in the first surgery and performing a hand-sewn anastomosis of LIC may increase POI.en_US
dc.identifier.doi10.47717/turkjsurg.2020.4911
dc.identifier.endpage339en_US
dc.identifier.issn2564-6850
dc.identifier.issn2564-7032
dc.identifier.issue4en_US
dc.identifier.pmid33778391en_US
dc.identifier.scopus2-s2.0-85099954556en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage333en_US
dc.identifier.trdizinid416643en_US
dc.identifier.urihttps://doi.org/10.47717/turkjsurg.2020.4911
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/416643
dc.identifier.urihttps://hdl.handle.net/11616/92580
dc.identifier.volume36en_US
dc.identifier.wosWOS:000609242000002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Surgical Assocen_US
dc.relation.ispartofTurkish Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIleostomy reversalen_US
dc.subjectsmall bowel obstructionen_US
dc.subjectcolorectal surgeryen_US
dc.subjecthand-sewn anastomosisen_US
dc.subjectlaparoscopyen_US
dc.titleRisk factors for postoperative ileus following loop ileostomy closureen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu