Retrospective Study
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastrointest Surg. Sep 27, 2014; 6(9): 169-174
Published online Sep 27, 2014. doi: 10.4240/wjgs.v6.i9.169
Table 1 Characteristics of the 93 patients who underwent loop ileostomy reversal
Clinical characteristicsn (%)
Patients included, total93 (100)
Gender
Male54 (58)
Female39 (42)
BMI
Underweight3 (3.1)
Normal weight44 (47)
Overweight31 (33.3)
Obese15 (15.8)
ASA Index
I5 (5.5)
II59 (63)
III29 (31)
Indication for ileostomy
Colorectal cancer52 (56)
Anastomotic leak16 (17.2)
IBD6 (6.4)
Colectomy for polyposis5 (5.3)
Endometriosis5 (5.3)
Diverticular disease3 (3.2)
Intestinal necrosis1 (1.07)
Pelvi-peritonectomy1 (1.07)
Post-endoscopy perforation1 (1.07)
Trauma1 (1.07)
Adjuvant therapy (in oncological patients)
Chemotherapy16 (17.2)
Chemo-radiotherapy35 (37)
Table 2 Characteristics of the ileostomy reversal procedure, including surgical technique and skin closure
Surgical variablen (%)
Ileostomy closure technique93 (100)
Stapled anastomosis9 (9.7)
Handsewn anastomosis84 (90.3)
Side-to-side with resection28 (33.3)
End-to-end with resection8 (9.5)
End-to-end without resection48 (57.1)
Skin closure technique70 (100)
Staples17 (24)
Subcuticular29 (41)
Interrupted suture24 (34)
Table 3 Postoperative complications after loop ileostomy reversal in our study
Complicationsn (%)
Total patients38 (40.8)
Ileus12 (12.9)
Wound infection12 (12.9)
Rectal bleeding5 (5.8)
Pseudomembranous colitis4 (4.3)
Anemia/bleeding3 (3.2)
Intestinal obstruction3 (3.2)
Anastomotic leak2 (2.15)
Urinary tract infection2 (2.15)
Acute renal failure2 (2.15)
Abdominal abscess2 (2.15)
Pneumonia1 (1)
Intestinal necrosis1 (1)
Multiple organ failure1 (1)
Thromboembolism1 (1)
Sepsis1 (1)
Evisceration1 (1)
Clavien-Dindo classification
Grade I21 (55)
Grade II9 (24)
Grade III7 (18)
Grade IV0 (0)
Grade V1 (3)
Table 4 Statistically significant conditions/complications in the multivariate analysis and their specific P values
Condition/complicationStatistical significance
Gender (male) and overall complicationsP = 0.042
Gender (male) and wound infectionP = 0.007
Age and rectal bleedingP = 0.006
Complications and time to closure (months)P = 0.041
Closure > 6 mo and pseudomembranous colitisP = 0.003
End-to-end intestinal anastomosis (without resection) and postoperative ileusP = 0.037