Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CLINICAL ANALYSYS
Postoperative Outlet Obstruction in Rectal Cancer Patients with Ileostomy
Shinya MunakataMasaya KawaiKazuhiro TakeharaYoshihiko TashiroSyun IshiyamaKiichi SugimotoYutaka KojimaMichitoshi GotoYuichi TomikiKazuhiro Sakamoto
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2015 Volume 40 Issue 1 Pages 20-24

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Abstract
(Objective) Intestinal obstruction in patients with temporary ileostomy applied during lower rectal cancer surgery was investigated. (Subjects and Methods) Fifty-eight patients in whom ileostomy was applied during rectal cancer surgery were retrospectively analyzed. (Results) The patients were divided into groups with and without intestinal obstruction, and the age, sex ratio, BMI, approach (laparotomy/laparoscopy), surgical procedure, distance of the tumor from the margin of the anus, T factor, Stage, duration of postoperative hospital stay, and time to closure of ileostomy were compared, but no significant difference was noted. The postoperative hospital stay was prolonged in the group with intestinal passage disorders. Outlet obstruction was caused by ileostomy, but there was no significant difference in the age, sex ratio, BMI, approach (laparotomy/laparoscopy), onset time, duration of postoperative hospital stay, or time to closure of ileostomy on comparison with other types of intestinal obstruction. (Conclusion) Outlet obstruction is caused by ileostomy, but it is difficult to identify a clinical characteristic compared to other intestinal obstructions. When outlet obstruction develops, it is important to closely examine and treat it.
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© 2015 Japanese College of Surgeons
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