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Jennie Burch
As nurses in any clinical setting may see patients with a stoma, it is vital they develop a basic understanding of stoma care. This article outlines the three main types of stoma, the specific appliances used for each type, examples of operations that might lead to stoma formation and the reasons for forming them.
November 15, 2011: Nursing Times
Mark H Hanna, Alessio Vinci, Alessio Pigazzi
PURPOSE: The role of fecal diversion using a loop ileostomy in patients undergoing rectal resection and anastomosis is controversial. There has been conflicting evidence on the perceived benefit vs. the morbidity of a defunctioning stoma. This is a review of the relevant surgical literature evaluating the risks, benefits, and costs of constructing a diverting ileostomy in current colorectal surgical practice. METHODS: Retrospective and prospective articles spanning the past 50 years were reviewed to identify the definition of an anastomotic leak (AL), evaluate risk factors for AL, and assess methods of evaluation of the anastomosis...
February 2015: Langenbeck's Archives of Surgery
Hagit Tulchinsky, Einat Shacham-Shmueli, Joseph M Klausner, Moshe Inbar, Ravit Geva
BACKGROUND AND OBJECTIVE: The influence of ileostomy closure timing on surgical and oncologic outcome was investigated in patients with locally advanced rectal cancer receiving adjuvant chemotherapy after low anterior resection. METHODS: Consecutive patients diagnosed with T3-4/N+ rectal cancer, treated by neoadjuvant chemoradiation and low anterior resection during 2000-2012 were retrospectively evaluated. Patients undergoing closure during adjuvant chemotherapy (Group A) were compared to patients undergoing closure after completing chemotherapy (Group B)...
March 2014: Journal of Surgical Oncology
H Hanju, X Jiahe, L Caizhao, L Sen, L Jianjiang
AIM: This study evaluated the efficacy and safety of ileal diversion, using a tracheal cannula, to protect from a low colorectal anastomosis in patients treated with neoadjuvant chemoradiotherapy. METHOD: Fifty patients who presented with rectal cancer and who had accepted neoadjuvant chemoradiotherapy were included. All underwent a low anterior resection with ileal diversion by either tracheal cannula ileostomy (n = 28) or conventional loop ileostomy (n = 22)...
March 2014: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
J Royds, J M O'Riordan, E Mansour, E Eguare, P Neary
BACKGROUND: The aim was to compare reversal and laparoscopy with standard reversal of loop ileostomy in terms of hospital stay and morbidity in a randomized study. METHODS: Patients having reversal of a loop ileostomy were randomized to either standard reversal of ileostomy or reversal and laparoscopy. Strict discharge criteria were applied: toleration of two meals without nausea and vomiting, passing a bowel motion, and attaining adequate pain control with oral analgesia...
September 2013: British Journal of Surgery
Hanju Hua, Jiahe Xu, Wenbin Chen, Xile Zhou, Jinhai Wang, Qinsong Sheng, Jianjiang Lin
BACKGROUND AND OBJECTIVE: Most surgeons suggest the use of fecal diversion in patients undergoing low anterior resections of rectal tumors at high risk for anastomotic leakage. We describe an exploratory study to evaluate the efficacy and safety of a new diversion method called a spontaneously closing cannula ileostomy, which was designed to protect rectal anastomoses in patients at high risk for anastomotic leakage. The outcomes of patients treated with cannula ileostomy were compared to those of patients treated with loop ileostomy...
November 2014: Diseases of the Colon and Rectum
Alexandra R M L Brandt, Olaf Schouten
A 62-year-old man presented to the emergency department with a prolapsed ileostomy (Panel A). He had undergone ileostomy 25 months earlier for the treatment of mesenteric ischemia requiring an extended right hemicolectomy. The prolapse had occurred 12 hours before presentation, with no known cause...
May 12, 2011: New England Journal of Medicine
Min Jung Kim, Yong Sok Kim, Sung Chan Park, Dae Kyung Sohn, Dae Yong Kim, Hee Jin Chang, Jae Hwan Oh
BACKGROUND: Although creation of a temporary diverting ileostomy during resection for rectal cancer surgery is used widely to decrease the risk of anastomotic leakage, a frequent outcome is maintenance of this "temporary" ileostomy as a permanent stoma (PS). Our aim was to assess the incidence of PS and identify potential risk factors. METHODS: This observational study included patients who underwent rectal cancer surgery with temporary ileostomy with curative intent between January 2001 and December 2008...
March 2016: Surgery
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