Nihon Daicho Komonbyo Gakkai Zasshi
Online ISSN : 1882-9619
Print ISSN : 0047-1801
ISSN-L : 0047-1801
Clinical Study
Risk Factors of Stoma Site Obstruction in Diverting Stoma Following Anus-preserving Surgery
Wataru KumodeMasayuki IshiiYuma TanigawaTetsuo Maeda
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2024 Volume 77 Issue 3 Pages 155-160

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Abstract

Objective: Stoma site obstruction (SSO) is one of the stoma-related complications. Diverting stoma is often constructed with anus-preserving surgery for the purpose of reducing the risk of anastomotic failure. We examined the risk factors of SSO with anus-preserving surgery.

Methods: We studied 99 patients who underwent anus-preserving surgery and elective diverting stoma. We evaluated the incidence of SSO and looked for any relationship between perioperative factors and SSO.

Results: SSO was detected 9 cases (9%). SSO occurred 5 days after surgery in most cases. Patients were divided into two cohorts according to the occurrence of SSO. The thickness of rectus muscles of the abdomen was thicker in the SSO group (12.3mm vs. 9.1mm; p=0.001).

Conclusion: The thickness of rectus muscles of the abdomen was an independent risk for SSO.

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© 2024 The Japan Society of Coloproctology

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
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