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COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS
BACKGROUND: : The restoration of intestinal continuity is an elective procedure that is not free of complications; on the contrary, many studies have proven a high level of morbidity and mortality. It is multifactorial, and has factors inherent to the patients and to the surgical technique. AIM: : T...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgia Digestiva
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793137/ https://www.ncbi.nlm.nih.gov/pubmed/29340543 http://dx.doi.org/10.1590/0102-6720201700040001 |
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author | FONSECA, Alexandre Z. URAMOTO, Edson SANTOS-ROSA, Otto M. SANTIN, Stephanie RIBEIRO-JR, Marcelo |
author_facet | FONSECA, Alexandre Z. URAMOTO, Edson SANTOS-ROSA, Otto M. SANTIN, Stephanie RIBEIRO-JR, Marcelo |
author_sort | FONSECA, Alexandre Z. |
collection | PubMed |
description | BACKGROUND: : The restoration of intestinal continuity is an elective procedure that is not free of complications; on the contrary, many studies have proven a high level of morbidity and mortality. It is multifactorial, and has factors inherent to the patients and to the surgical technique. AIM: : To identify epidemiological features of patients that underwent ostomy closure analyzing the information about the surgical procedure and its arising complications. METHOD: : It was realized a retrospective analysis of medical records of patients who underwent ostomy closure over a period of seven years (2009-2015). RESULTS: : A total of 39 patients were included, 53.8% male and 46.2% female, with mean age of 52.4 years. Hartmann´s procedure and ileostomy were the mainly reasons for restoration of intestinal continuity, representing together 87%. Termino-terminal anastomosis was performed in 71.8% of cases, by using mainly the manual technique. 25.6% developed complications, highlighting anastomotic leakage; there were three deaths (7.6%). The surgical time, the necessity of ICU and blood transfusion significantly related to post-operative complications. CONCLUSION: : It was found that the majority of the patients were male, with an average age of 52 years. It was observed that the surgical time, the necessity of blood transfusion and ICU were factors significantly associated with complications. |
format | Online Article Text |
id | pubmed-5793137 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-57931372018-02-05 COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS FONSECA, Alexandre Z. URAMOTO, Edson SANTOS-ROSA, Otto M. SANTIN, Stephanie RIBEIRO-JR, Marcelo Arq Bras Cir Dig Original Article BACKGROUND: : The restoration of intestinal continuity is an elective procedure that is not free of complications; on the contrary, many studies have proven a high level of morbidity and mortality. It is multifactorial, and has factors inherent to the patients and to the surgical technique. AIM: : To identify epidemiological features of patients that underwent ostomy closure analyzing the information about the surgical procedure and its arising complications. METHOD: : It was realized a retrospective analysis of medical records of patients who underwent ostomy closure over a period of seven years (2009-2015). RESULTS: : A total of 39 patients were included, 53.8% male and 46.2% female, with mean age of 52.4 years. Hartmann´s procedure and ileostomy were the mainly reasons for restoration of intestinal continuity, representing together 87%. Termino-terminal anastomosis was performed in 71.8% of cases, by using mainly the manual technique. 25.6% developed complications, highlighting anastomotic leakage; there were three deaths (7.6%). The surgical time, the necessity of ICU and blood transfusion significantly related to post-operative complications. CONCLUSION: : It was found that the majority of the patients were male, with an average age of 52 years. It was observed that the surgical time, the necessity of blood transfusion and ICU were factors significantly associated with complications. Colégio Brasileiro de Cirurgia Digestiva 2017 /pmc/articles/PMC5793137/ /pubmed/29340543 http://dx.doi.org/10.1590/0102-6720201700040001 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article FONSECA, Alexandre Z. URAMOTO, Edson SANTOS-ROSA, Otto M. SANTIN, Stephanie RIBEIRO-JR, Marcelo COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS |
title | COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS |
title_full | COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS |
title_fullStr | COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS |
title_full_unstemmed | COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS |
title_short | COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS |
title_sort | colostomy closure: risk factors for complications |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793137/ https://www.ncbi.nlm.nih.gov/pubmed/29340543 http://dx.doi.org/10.1590/0102-6720201700040001 |
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