Retrospective Study
Copyright ©The Author(s) 2024.
World J Gastrointest Surg. May 27, 2024; 16(5): 1354-1362
Published online May 27, 2024. doi: 10.4240/wjgs.v16.i5.1354
Table 1 Clinical characteristics of the whole cohort, n (%)
Characteristics
No. 439
Age (yr)61.6 ± 11.4
Sex
    Male292 (66.5)
    Female147 (33.5)
BMI (kg/m2)22.3 ± 3.0
Smoking164 (37.4)
Drinking144 (32.8)
Hypertension105 (23.9)
T2DM42 (9.6)
Hemoglobin (g/L)124.7 ± 17.3
Albumin (g/L)40.5 ± 4.3
The time from primary surgery to ileostomy reversal (months)4.6 ± 2.9
Operation time (min)94.2 ± 41.7
Blood loss (mL)29.7 ± 34.5
Hospital stay (d)5.7 ± 3.1
Overall complications50 (11.4)
Stoma-related complications28 (6.4)
Table 2 Comparison between the complication group and the no complication group, n (%)
Characteristics
Complication (50)
No complication (389)
P value
Age (yr)63.2 ± 10.061.4 ± 11.50.300
Sex0.579
    Male35 (53.2)257 (64.0)
    Female15 (46.8)132 (36.0)
BMI (kg/m2)22.5 ± 2.722.3 ± 3.10.710
Smoking20 (35.3)144 (39.2)0.682
Drinking16 (28.5)128 (32.6)0.898
Hypertension10 (26.4)95 (24.1)0.490
T2DM7 (12.8)35 (10.2)0.258
Hemoglobin (g/L)122.6 ± 18.6125.0 ± 17.10.366
Albumin (g/L)38.8 ± 4.040.8 ± 4.2< 0.01a
The time from primary surgery to ileostomy reversal (months)5.0 ± 3.34.6 ± 2.80.369
Operation time (min)103.6 ± 43.493.0 ± 41.40.090
Blood loss (mL)40.7 ± 49.628.3 ± 31.80.017a
Hospital stay (d)9.1 ± 6.05.3 ± 2.1< 0.01a
Table 3 Comparison between the stoma-related group and the no stoma-related complication group
Characteristics
Stoma-related Complication (28)
No stoma-related complication (411)
P value
Age, (yr)64.8 ± 10.761.4 ± 11.40.133
Sex0.277
    Male16 (53.2)276 (64.0)
    Female12 (46.8)135 (36.0)
BMI (kg/m2)23.8 ± 2.922.2 ± 3.0< 0.01a
Smoking10 (35.3)154 (39.2)0.853
Drinking8 (28.5)136 (32.6)0.622
Hypertension11 (26.4)94 (24.1)0.049a
T2DM4 (12.8)38 (10.2)0.329
Hemoglobin123.9 ± 21.9124.8 ± 17.00.793
Albumin (g/L)39.7 ± 4.040.6 ± 4.30.287
The time from primary surgery to ileostomy reversal (months)6.3 ± 3.84.5 ± 2.8< 0.01a
Operation time (min)113.7 ± 60.392.9 ± 39.50.010a
Blood loss (mL)39.6 ± 36.929.1 ± 34.30.116
Hospital stay (d)5.3 ± 1.75.7 ± 3.10.452
Table 4 Univariate and multivariate logistic regression analysis of overall complications
Risk factors
Univariate analysis
Multivariate analysis
OR (95%CI)
P value
OR (95%CI)
P value
Age (yr)1.014 (0.988-1.041)0.300
Sex (female/male)0.834 (0.440-1.583)0.579
BMI (kg/m2)1.019 (0.924-1.122)0.710
T2DM (yes/no)1.647 (0.689-3.934)0.262
Smoking (yes/no)1.134 (0.621-2.071)0.682
Drinking (yes/no)0.960 (0.511-1.803)0.898
Hypertension (yes/no)0.774 (0.373-1.606)0.491
Hemoglobin (g/L)0.992 (0.976-1.009)0.365
Albumin (g/L)0.887 (0.822-0.957)< 0.01a0.888 (0.828-0.958)< 0.01a
The time from primary surgery to ileostomy reversal (months)1.042 (0.952-1.141)0.3711.030 (0.939-1.130)0.534
Table 5 Univariate and multivariate logistic regression analysis of stoma-related complications
Risk factors
Univariate analysis
Multivariate analysis
OR (95%CI)
P value
OR (95%CI)
P value
Age (yr)1.027 (0.992-1.064)0.134
Sex (female/male)1.533 (0.706-3.332)0.280
BMI (kg/m2)1.175 (1.044-1.324)< 0.01a1.176 (1.041-1.330)< 0.01a
T2DM (yes/no)1.636 (0.539-4.963)0.385
Smoking (yes/no)0.927 (0.417-2.060)0.853
Drinking (yes/no)0.809 (0.347-1.883)0.623
Hypertension (yes/no)2.182 (0.988-4.820)0.054
Hemoglobin (g/L)0.997 (0.975-1.019)0.792
Albumin (g/L)0.951 (0.867-1.043)0.287
The time from primary surgery to ileostomy reversal (months)1.142 (1.041-1.253)< 0.01a1.140 (1.038-1.252)< 0.01a