A novel technique for the construction of an end ileostomy to prevent stoma outlet obstruction after rectal resection and total colectomy: a single-center retrospective study

Mirnezami A, Mirnezami R, Chandrakumaran K, Sasapu K, Sagar P, Finan P. Increased local recurrence and reduced survival from colorectal cancer following anastomotic leak: systematic review and meta-analysis. Ann Surg. 2011;253:890–9. https://doi.org/10.1097/SLA.0b013e3182128929.

Article  PubMed  Google Scholar 

Lu ZR, Rajendran N, Lynch AC, Heriot AG, Warrier SK. Anastomotic leaks after restorative resections for rectal cancer compromise cancer outcomes and survival. Dis Colon Rectum. 2016;59:236–44. https://doi.org/10.1097/DCR.0000000000000554.

Article  PubMed  Google Scholar 

Krarup PM, Nordholm-Carstensen A, Jorgensen LN, Harling H. Anastomotic leak increases distant recurrence and long-term mortality after curative resection for colonic cancer: a nationwide cohort study. Ann Surg. 2014;259:930–8. https://doi.org/10.1097/SLA.0b013e3182a6f2fc.

Article  PubMed  Google Scholar 

Kang J, Choi GS, Oh JH, Kim NK, Park JS, Kim MJ, et al. Multicenter analysis of long-term oncologic impact of anastomotic leakage after laparoscopic total mesorectal excision: the Korean laparoscopic colorectal surgery study group. Med (Baltim). 2015;94: e1202. https://doi.org/10.1097/MD.0000000000001202.

Article  Google Scholar 

McDermott FD, Heeney A, Kelly ME, Steele RJ, Carlson GL, Winter DC. Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks. Br J Surg. 2015;102:462–79. https://doi.org/10.1002/bjs.9697.

Article  PubMed  CAS  Google Scholar 

Matthiessen P, Hallböök O, Rutegård J, Simert G, Sjödahl R. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg. 2007;246:207–14. https://doi.org/10.1097/SLA.0b013e3180603024.

Article  PubMed  PubMed Central  Google Scholar 

Chude GG, Rayate NV, Patris V, Koshariya M, Jagad R, Kawamoto J, et al. Defunctioning loop ileostomy with low anterior resection for distal rectal cancer: should we make an ileostomy as a routine procedure? A prospective randomized study. Hepato-Gastroenterol. 2008;55:1562–7.

CAS  Google Scholar 

Hüser N, Michalski CW, Erkan M, Schuste TR, Rosenberg R, Kleeff J, et al. Systematic review and meta-analysis of the role of defunctioning stoma in low rectal cancer surgery. Ann Surg. 2008;248:52–60. https://doi.org/10.1097/SLA.0b013e318176bf65.

Article  PubMed  Google Scholar 

Tamura K, Matsuda K, Yokoyama S, Iwamoto H. Defunctioning loop ileostomy for rectal anastomoses: predictors of stoma outlet obstruction. Int J Colorectal Dis. 2019;34:1141–5. https://doi.org/10.1007/s00384-019-03308-z.

Article  PubMed  Google Scholar 

Abe T, Nishimura J, Yasui M, et al. Risk factors for outlet obstruction in patients with diverting ileostomy following rectal surgery. J Anus Rectum Colon. 2021;5:254–60. https://doi.org/10.23922/jarc.2021-007.

Article  PubMed  PubMed Central  Google Scholar 

Enomoto H, Suwa K, Takeuchi N, Hannya Y, Tsukazai Y, Ushigome T, et al. Risk of outlet obstruction associated with defunctioning loop ileostomy in rectal cancer surgery. Cancer Diagn Progn. 2021;1:465–70. https://doi.org/10.21873/cdp.10062.

Article  PubMed  PubMed Central  Google Scholar 

Sasaki S, Nagasaki T, Oba K, Akiyoshi T, Mukai T, Yamaguchi T, et al. Risk factors for outlet obstruction after laparoscopic surgery and diverting ileostomy for rectal cancer. Surg Today. 2021;51:366–73. https://doi.org/10.1007/s00595-020-02096-2.

Article  PubMed  Google Scholar 

Imaizumi Y, Takano Y, Okamoto A, Nakano T, Takado N, Sugano H, et al. High-output stoma is a risk factor for stoma outlet obstruction in defunctioning loop ileostomies after rectal cancer surgery. Surg Today. 2024;54:106–12. https://doi.org/10.1007/s00595-023-02704-x.

Article  PubMed  Google Scholar 

Brierley JD, Gospodarowicz MK. UICC TNM Classification of Malignant Tumours. Digestive System Tumours. 8th ed. John Wiley & Sons Ltd; 2017.

Turnbull RB, Weakley FL. Atlas of Intestinal Stomas. St Louis: CV Mosby Company; 1967. Ch. 1, p. 7–11; Ch. 3, p. 33.

Marinatou A, Theodoropoulos GE, Karanika S, Karantanos T, Siakavellas S, Spyropoulos B, et al. Do anastomotic leaks impair postoperative health-related quality of life after rectal cancer surgery? A case-matched study. Dis Colon Rectum. 2014;57:158–66. https://doi.org/10.1097/DCR.0000000000000040.

Article  PubMed  Google Scholar 

Myrseth E, Nymo LS, Gjessing PF, Norderval S. Diverting stomas reduce reoperation rates for anastomotic leak but not overall reoperation rates within 30 days after anterior rectal resection: a national cohort study. Int J Colorectal Dis. 2022;37:1681–8. https://doi.org/10.1007/s00384-022-04205-8.

Article  PubMed  PubMed Central  Google Scholar 

Emile SH, Khan SM, Garoufalia Z, Silva-Alvarenga E, Gefen R, et al. When is a diverting stoma indicated after low anterior resection? A meta-analysis of randomized trials and meta-regression of the risk factors of leakage and complications in non-diverted patients. J Gastrointest Surg. 2022;26:2368–79. https://doi.org/10.1007/s11605-022-05427-5.

Article  PubMed  Google Scholar 

Phan K, Oh L, Ctercteko G, Pathma-Nathan N, El Khoury T, Azam H, et al. Does a stoma reduce the risk of anastomotic leak and need for re-operation following low anterior resection for rectal cancer: systematic review and meta-analysis of randomized controlled trials. J Gastrointest Oncol. 2019;10:179–87. https://doi.org/10.21037/jgo.2018.11.07.

Article  PubMed  PubMed Central  Google Scholar 

Degiuli M, Elmore U, De Luca R, De Nardi P, Tomatis M, Biondi A, et al. Risk factors for anastomotic leakage after anterior resection for rectal cancer (RALAR study): a nationwide retrospective study of the Italian Society of Surgical Oncology Colorectal Cancer Network Collaborative Group. Colorectal Dis. 2022;24:264–76. https://doi.org/10.1111/codi.15997.

Article  PubMed  Google Scholar 

Snijders HS, van den Broek CB, Wouters MW, Kranenbarg EM-K, Wiggers T, Rutten H, et al. An increasing use of defunctioning stomas after low anterior resection for rectal cancer. Is this the way to go? Eur J Surg Oncol. 2013;39:715–20. https://doi.org/10.1016/j.ejso.2013.03.025.

Article  PubMed  CAS  Google Scholar 

Kumano K, Kitaguchi D, Owada Y, Kinoshita E, Moue S, Furuya K, et al. A comparative study of stoma-related complications from diverting loop ileostomy or colostomy after colorectal surgery. Langenbecks Arch Surg. 2023;408:139. https://doi.org/10.1007/s00423-023-02877-6.

Article  PubMed  Google Scholar 

Higashimoto I, Teshima J, Ozawa Y, Usuda M, Miyata G. Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study. Surg Today. 2023;53:621–7. https://doi.org/10.1007/s00595-022-02632-2.

Article  PubMed  Google Scholar 

Du R, Zhou J, Tong G, Chang Y, Li D, Wang F, et al. Postoperative morbidity and mortality after anterior resection with preventive diverting loop ileostomy versus loop colostomy for rectal cancer: a updated systematic review and meta-analysis. Eur J Surg Oncol. 2021;47:1514–25. https://doi.org/10.1016/j.ejso.2021.01.030.

Article  PubMed  Google Scholar 

Chudner A, Gachabayov M, Dyatlov A, Lee H, Essani R, Bergamaschi R. The influence of diverting loop ileostomy vs. colostomy on postoperative morbidity in restorative anterior resection for rectal cancer: a systematic review and meta-analysis. Langenbecks Arch Surg. 2019;404:129–39. https://doi.org/10.1007/s00423-019-01758-1.

Article  PubMed  CAS  Google Scholar 

Klink CD, Lioupis K, Binnebösel M, Kaemmer D, Kozubek I, Grommes J, et al. Diversion stoma after colorectal surgery: loop colostomy or ileostomy? Int J Colorectal Dis. 2011;26:431–6. https://doi.org/10.1007/s00384-010-1123-2.

Article  PubMed  Google Scholar 

Takehara Y, Nakagawa M, Kobayashi H, Kakisako K, Takano Y, Seki J, et al. A technique for constructing diverting loop ileostomy to prevent outlet obstruction after rectal resection and total colectomy: a retrospective single-center study. Surg Today. 2022;52:587–94. https://doi.org/10.1007/s00595-021-02381-8.

Article  PubMed  Google Scholar 

Kuwahara K, Mokuno Y, Matsubara H, Uji M, Kobayashi I, Iyomasa S. Risk factors for stoma outlet obstruction: preventing this complication after construction of diverting ileostomy during laparoscopic colorectal surgery. JMA J. 2022;5:207–15. https://doi.org/10.31662/jmaj.2021-0187.

Article  PubMed  PubMed Central  Google Scholar 

Kitahara T, Sato Y, Oshiro T, Matsunaga R, Nagashima M, Okazumi S. Risk factors for postoperative stoma outlet obstruction in ulcerative colitis. World J Gastrointest Surg. 2020;12:507–19. https://doi.org/10.4240/wjgs.v12.i12.507.

Article  PubMed  PubMed Central  Google Scholar 

Eto K, Kosuge M, Ohkuma M, Noaki R, Neki K, Ito D, et al. Defunctioning ileostomy is a key risk factor for small bowel obstruction after colorectal cancer resection. Anticancer Res. 2018;38:1789–95.

PubMed  Google Scholar 

Ng KH, Ng DC, Cheung HY, Wang JCH, Yau KKK, Chung CCC, et al. Obstructive complications of laparoscopically created defunctioning ileostomy. Dis Colon Rectum. 2008;51:1664–8. https://doi.org/10.1007/s10350-008-9351-z.

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