• Colostomy
• Ileostomy
• Nationwide inpatient sample
• Older adult
• Ostomy

• Humans
• Female
• Male
• Middle Aged
• Aged
• Retrospective Studies
• Colostomy/statistics & numerical data
• Age Factors
• United States/epidemiology
• Ileostomy/statistics & numerical data
• Adult
• Aged, 80 and over

• Challenges
• Colorectal cancer
• Communication
• Distress
• Fecal ostomy

• biopsychosocial outcomes
• distress
• fecal ostomy
• fecal ostomy surgeryl CI-oSurg
• intervention acceptability
• open pilot
• ostomy care
• psychosocial support

• Adult
• Female
• Humans
• Male
• Middle Aged
• Communication
• Feasibility Studies
• Ostomy/psychology
• Pilot Projects
• Video Recording

• UL1 TR002541 NCATS NIH HHS

• ostomy bags
• ostomy devices
• stomas

• UIDB/05549/2020 Fundação para a Ciência e Tecnologia
• UIDP/05549/2020 Fundação para a Ciência e Tecnologia
• UIDB/00319/2020 Fundação para a Ciência e Tecnologia
• HfPT - PPS3 Mobilising Agendas for Business Innovation, Recovery and Resilience Plan

• consensus
• parastomal hernia

• Humans
• Delphi Technique
• Herniorrhaphy/methods
• Herniorrhaphy/adverse effects
• Consensus
• Female
• Male
• Surgical Stomas/adverse effects
• Incisional Hernia/surgery
• Incisional Hernia/etiology
• Middle Aged
• Aged
• Colostomy/adverse effects
• Colostomy/methods
• Risk Factors

• Coloanal anastomosis
• Diversion ileostomy
• Pull-through
• Rectal cancer
• Stoma

• Humans
• Anastomosis, Surgical/methods
• Rectal Neoplasms/surgery
• Retrospective Studies
• Male
• Middle Aged
• Aged
• Female
• Anal Canal/surgery
• Colon/surgery
• Postoperative Complications
• Anastomotic Leak/etiology
• Time Factors
• Treatment Outcome
• Adult
• Aged, 80 and over

• Colonic neoplasms
• Colorectal surgery
• Intestinal obstruction
• Self-expandable metallic stents

• Colorectal
• Geriatric assessment
• Geriatric conditions
• Surgery

• Humans
• Geriatric Assessment/methods
• Aged
• Colorectal Surgery
• Postoperative Complications/epidemiology
• Postoperative Complications/etiology
• Postoperative Complications/prevention & control
• Frailty/diagnosis
• Treatment Outcome

• conservative treatment
• parastomal hernia
• patient‐reported outcome measures
• surgical repair

• Humans
• Quality of Life
• Prospective Studies
• Cohort Studies
• Incisional Hernia/etiology
• Incisional Hernia/surgery
• Surgical Stomas/adverse effects
• Colostomy/adverse effects
• Patient Reported Outcome Measures
• Hernia, Ventral/etiology
• Hernia, Ventral/surgery
• Surgical Mesh/adverse effects

• Bowel Research UK

• Hirschsprung’s disease
• Piloting pull-through
• Spontaneous stoma closure

• Child
• Humans
• Male
• Infant
• Female
• Hirschsprung Disease/surgery
• Quality of Life
• Uganda
• Colostomy/adverse effects
• Surgical Wound Infection
• Postoperative Complications/epidemiology
• Postoperative Complications/etiology
• Treatment Outcome
• Retrospective Studies

• colorectal surgery
• patient-reported outcome measures
• patient-reported outcomes

• Anastomosis
• Pull-through
• Rectal cancer
• Sphincter-preserving
• TaTME
• Ultralow anterior resection

• Colorectal surgery
• Colostomy
• Diverting stoma
• Ileostomy
• Morbidity after stoma closure
• Stoma-related complications

In this editorial we present an overview and insights of the management of hereditary polyposis syndromes. The primary focus was on familial adenomatous polyposis, juvenile polyposis syndrome and Peutz-Jegher syndrome. Genetic testing has become increasingly available and is easier than ever to integrate into clinical practice. Furthermore, several genes have been added to the expanding list of genes associated with hereditary polyposis syndromes, allowing for precise diagnostics and tailored follow-up. Endoscopic evaluation of patients with hereditary polyposis syndromes is paramount in the surveillance strategies. Current endoscopic procedures include both diagnostic procedures and surveillance as well as therapeutic interventions. Recommendations for endoscopic procedures in the upper and lower gastrointestinal canal were described. Surgery is still a key component in the management of patients with hereditary polyposis syndromes. The increased cancer risk in these patients often render prophylactic procedures or intended curative procedures in the case of cancer development. Surgical interventions in the upper and lower gastrointestinal canal were described with relevant considerations. Development of chemopreventive medications is ongoing. Few drugs have been investigated, including nonsteroidal anti-inflammatory drugs. It has been demonstrated that cyclooxygenase-2 inhibitors may lower the number of polyps. Other medications are currently under investigation, but none have, to date, consistently been able to prevent development of disease.

• Hereditary polyposis
• Familial adenomatous polyposis
• Juvenile polyposis syndrome
• Peutz-Jegher syndrome

• home health providers
• quality of life
• randomized
• stoma
• stoma therapist
• study protocol

• Colorectal neoplasms
• Diverticulitis
• Hartmann’s procedure
• Laparoscopy

• Vertical Abdominus Myocutaneous flap
• colorectal cancer
• incisional hernia
• parastomal hernia
• radiology

• patient reported outcome measures
• quality of life
• stoma
• systematic review
• validation

• Humans
• Quality of Life
• Patient Reported Outcome Measures
• Reproducibility of Results
• Psychometrics

• Aarhus University

This study aimed to investigate the surgical treatment strategy of recurrent parastomal hernia (PH) and show its safety, feasibility, and outcomes at a mid-term follow-up.

A total of 17 cases of recurrent PH treated at our hospital between January 2016 and October 2021 were included in this retrospective analysis. Patient characteristics were recorded, and the classification of PH, operative time, intraoperative blood loss, hernia repair techniques, follow-up times, complications, as well as recurrence were compared and analyzed.

Altogether, 17 patients with recurrent PH underwent successful hernia repair via surgical treatment at The First Affiliated Hospital of Shandong First Medical University and Shandong University Qilu Hospital. No recurrence or severe complications were noted during follow-ups (mean 32.8 ± 3.77 [range 3–68] months).

For recurrent PH, selecting a suitable repair approach based on intraperitoneal conditions such as infection, abdominal adhesions, or the length of the bowel loop, can help in achieving better therapeutic results. The lap-redo + Sugarbaker technique is worth recommending when the appropriate conditions are met.

• fatigue
• ileostomy
• inflammatory bowel disease
• patient-reported outcome measures
• quality of life

• Cross-Sectional Studies
• Fatigue
• Female
• Humans
• Ileostomy
• Male
• Patient Reported Outcome Measures
• Quality of Life
• Retrospective Studies

• Crohn’s disease
• Inflammatory Bowel Disease
• Patients Reported Outcomes
• quality of life
• ulcerative colitis

• Colectomy
• Obstructive left colon cancer
• Treatment outcome

Formation of a defunctioning loop ileostomy is common after mid and low rectal resection. Historically, they were reversed between 3 and 6 months after initial resection. Recently, earlier closure (< 14 days) has been suggested by some current randomised controlled trials. The aim of this study was to investigate the effect of early stoma closure on surgical and patient outcomes.

A systematic review of the current randomised controlled trial literature comparing early and standard ileostomy closure after rectal surgery was performed. Specifically, we examined surgical outcomes including; morbidity, mortality and quality of life.

Six studies met the predefined criteria and were included in our analysis. 275 patients underwent early stoma closure compared with 259 patients having standard closure. Overall morbidity was similar between both groups (25.5% vs. 21.6%) (OR, 1.47; 95% CI 0.75–2.87). However, there tended to be more reoperations (8.4 vs. 4.2%) (OR, 2.02, 95% CI 0.99–4.14) and small bowel obstructions/postoperative ileus (9.3% vs. 4.4%) (OR 0.44, 95% CI 0.22–0.90) in the early closure group, but no difference across the other domains.

Early closure appears to be a feasible in highly selective cases after good perioperative counselling and shared decision-making. Further research on quality of life outcomes and long term benefits is necessary to help define which patients are suitable candidates for early closure.

• Ileostomy reversal
• Morbidity
• Quality of life
• Surgical outcomes

• Anastomotic leak
• Delayed coloanal anastomosis
• Diverting stoma
• Pull-through
• Rectal cancer

• ModaVi
• Ostomate
• Quality of life
• Stoma

• Emotions
• Humans
• Ostomy
• Quality of Life
• Surgical Stomas

• Colostomy
• Ileostomy
• Learning resource
• Patient education
• Self-care
• YouTube videos

• Colostomy
• Humans
• Ileostomy
• Social Media
• Video Recording

• hernia repair
• meta-analysis
• parastomal hernia
• peristomal complications
• prophylactic mesh
• systematic review

• Aged
• Cohort Studies
• Colostomy/adverse effects
• Female
• Humans
• Ileostomy
• Ostomy/adverse effects
• Postoperative Complications/etiology
• Surgical Stomas/adverse effects

• cohort study
• parastomal hernia
• stoma

• Cohort Studies
• Colostomy
• Hernia, Ventral/etiology
• Hernia, Ventral/surgery
• Humans
• Incisional Hernia/etiology
• Incisional Hernia/prevention & control
• Neoplasm Recurrence, Local
• Quality of Life
• Surgical Mesh
• Surgical Stomas/adverse effects
• United Kingdom

• MR/S001751/1 Medical Research Council
• Royal Devon and Exeter NHS Foundation Trust
• National Institute for Health Research (NIHR) Biomedical Research Centre
• MR/K025643/1 Medical Research Council
• 14/166/01 Department of Health
• Weston National Health Service (NHS) Foundation Trust
• University of Bristol
• 14/166/01 Health Technology Assessment Programme

• Parastomal hernia
• Prophylactic preperitoneal mesh

• colon and rectal surgery speciality
• colorectal surgery
• surgical anastomosis

• Anastomotic leak
• Colorectal surgery
• Fluorescence angiography
• Fluorescence imaging
• Indocyanine green
• Near infrared

Despite advances in coloanal anastomosis techniques, satisfactory procedures completed without complications remain lacking. We investigated the effectiveness of our recently developed ‘Short stump and High anastomosis Pull-through’ (SHiP) procedure for delayed coloanal anastomosis without a stoma. In this retrospective study, we analysed functional outcomes, morbidity, and mortality rates and local recurrence of 37 patients treated using SHiP procedure, out of the 282 patients affected by rectal cancer treated in our institution between 2012 and 2020. The inclusion criterion was that the rectal cancer be located within 4 cm from the anal margin. One patient died of local and pulmonary recurrence after 6 years, one developed lung and liver metastases after 2 years, and one experienced local recurrence 2.5 years after surgery. No major leak, retraction, or ischaemia of the colonic stump occurred; the perioperative mortality rate was zero. Five patients (13.51%) had early complications. Stenosis of the anastomosis, which occurred in nine patients (24.3%), was the only long-term complication; only three (8.1%) were symptomatic and were treated with endoscopic dilation. The mean Wexner scores at 24 and 36 months were 8.3 and 8.1 points, respectively. At the 36-month check-up, six patients (24%) had major LARS, ten (40%) had minor LARS, and nine (36%) had no LARS. The functional results in terms of LARS were similar to those previously reported after immediate coloanal anastomosis with protective stoma. The SHiP procedure resulted in a drastic reduction in major complications, and none of the patients had a stoma.

• Coloanal anastomosis
• Pull- through
• Rectal cancer
• Stoma
• Turnbull–Cutait

• Local recurrence
• Rectal cancer
• Stoma
• Transanal total mesorectal excision (TaTME)

• Humans
• Male
• Neoplasm Recurrence, Local
• Norway
• Prospective Studies
• Rectal Neoplasms/surgery
• Rectum
• Transanal Endoscopic Surgery

• colorectal surgery
• emergency
• guideliness

• Colorectal Surgery
• Consensus
• Digestive System Surgical Procedures
• Emergency Service, Hospital
• Humans
• United Kingdom

This study aimed at evaluating the supporting and non-supporting loop colostomy techniques in dogs.

In this study, 12 adult healthy mongrel dogs were used to carry out a short-term (21 days) temporary flank loop colostomy. The dogs were divided into two groups (n = 6). In the first group (Con group), conventional stoma fixation was operated without loop support. In the second group [subcutaneous silicone drain (SSD) group], an SSD was used as a supporting bridge. The stoma was fixed by a modified, interrupted seromuscular vertical mattress suture pattern. Both peristomal and stomal complications were recorded.

Results showed that a total of seven dogs (58%) suffered complications. There was a significant tendency toward less peristomal (p = 0.012) and stomal complications (p = 0.001) in the SSD group. The intensity of pain was significantly (p < 0.05) different between the two groups in the first week post surgery. Comfort with stoma care was significantly (p = 0.015) better in the SSD group, experiencing the best results.

It is concluded that an appropriate stoma location, using a soft supporting bridge, stoma fixation using modified interrupted neuromuscular vertical mattress sutures, and proper appliance fixation by adhesive tapes and a tight T-shirt may overcome the complications of short-term loop colostomy in dogs and introduce a satisfaction for stoma care.

• Loop colostomy
• colon
• flange
• stoma
• subcutaneous silicon drains

•

Parastomal hernias have very high recurrence rate after surgical treatment, it ranges from 5 to 50%.

The treatment of parastomal hernias remains one of the most relevant issues in coloproctology and general surgery due to its high recurrence rate of 5 to 50%. An increase in the number of overweight people has led to the fact that at least 25% of patients with parastomal hernias are obese and have severe concurrent disorders.

A 69-years old woman with 12 × 15 cm parastomal hernia, grade 3 obesity and type 2 diabetes mellitus underwent concurrent laparoscopic IPOM hernia repair and Roux-en-Y gastric bypass. The patient was discharged on the 5^th postoperative day. After 12 months the patient lost 42 kg, BMI = 28.3 kg/m², had a complete remission of diabetes, and no signs of parastomal hernia.

Symptomatic parastomal hernias, accompanied by pain, episodes of incarceration, impaired evacuation of intestinal contents through the ostomy, and dermatitis require surgical intervention. The combination of bariatric surgery and simultaneous hernioplasty is a standard intervention approved in the respective guidelines. At the same time, in the case of parastomal hernias after colorectal operations, the risk of encountering a serious adhesion process can complicate laparoscopic surgery. In obese patients with type 2 diabetes mellitus, it is recommended to perform one of the bypass interventions.

Concurrent bariatric surgery and hernia repair allow the patient to lose more than 70% of excess body weight, reduce the risk of hernia recurrence, and significantly reduce comorbidity. This surgical approach is safe in thoroughly selected patients, who might greatly benefit from it.

• Bariatric surgery
• Case report
• IPOM
• Parastomal hernia
• Roux-en-Y gastric bypass

• Complications
• Ileal pouch-anal anastomosis
• Indeterminant colitis
• Inflammatory bowel disease unclassified
• Three-stage procedure
• Two-stage procedure
• Ulcerative colitis

The rate of restoration of intestinal continuity after colonic resection and stoma creation in patients with Crohn’s disease has not been well-documented in the era of biologics. Thus, the incidence of restoration of intestinal continuity since the introduction of biological drugs was assessed.

Consecutive patients (n = 43) who underwent colonic resection with ileostomy or colostomy formation for Crohn’s disease at a single tertiary referral center between 2002 and 2014 were identified. Data from individual chart review were analyzed retrospectively. Patients were personally contacted for follow-up.

Of the 43 patients 8 (18.4%) had a proctectomy leaving 35 patients (81.4%) with the rectum preserved. Of the 30 patients qualifying for final analysis restoration of bowel continuity was finally achieved in 10 patients (33.3%). Permanent stoma rates were comparable in the group of patients with and without biological therapy after surgery (64.3% vs. 60%). The median follow-up period was 7 years (range 3–15 years). Of the patients 20 suffered from perianal disease involvement (66.7%), which was associated with a higher rate of permanent stoma (n = 16/20, 80%) in contrast to patients without perianal disease (n = 4/10, 40%, p = 0.045).

The overall incidence of stoma formation was low for patients with Crohn’s disease; however, once a stoma is created the chance of ending up with a permanent stoma is high even in the era of biologics. Despite the use of new therapeutic agents perianal disease increases the risk of a permanent stoma.

• Biological Therapy
• Colostomy
• Crohn Disease/drug therapy
• Crohn Disease/surgery
• Female
• Humans
• Ileostomy
• Male
• Retrospective Studies

• Medical University of Vienna

• European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)
• Quality of life (QOL)
• colorectal cancer (CRC)
• gender difference