| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website http://www.jocmr.org |
Original Article
Volume 7, Number 9, September 2015, pages 685-689
Defunctioning Ileostomy Reversal Rates and Reasons for Delayed Reversal: Does Delay Impact on Complications of Ileostomy Reversal? A Study of 170 Defunctioning Ileostomies
Tables
| Dukes classification | ||||
|---|---|---|---|---|
| A (n = 49) | B (n = 57) | C (n = 48) | D (n = 16) | |
| Median age, years | 69 | 70 | 68 | 67 |
| Male, n (%) | 29 (59) | 46 (80) | 34 (71) | 8 (50) |
| Ileostomies reversed, n (%) | 47 (96) | 41 (72) | 32 (67) | 7 (44) |
| Postoperative adjuvant chemotherapy | 35% (22/63) |
| No health-related reason identified | 22% (14/63) |
| Non-surgical complications CABG (n = 1) PE (n = 1) Renal failure (n = 8) Prolonged postoperative fatigue (n = 2) Patient wishes (n = 2) | 22% (14/63) |
| Surgical complications Symptomatic anastomotic leakage 14% (9/63) Adhesive SBO 5% (3/63) Anastomotic stricture 2% (1/63) | 21% (13/63) |
| Timing of ileostomy reversal | |||
|---|---|---|---|
| Non delayed | Delayed | P value | |
| Total number, N (%) | 64 (50.3%) | 63 (49.7%) | NS |
| Male, n (%) | 38 (46.3%) | 44 (53.7%) | NS |
| Female, n (%) | 31 (68.8%) | 14 (31.2%) | 0.05 |
| Mean age, years | 69 | 67 | NS |
| Median length of inpatient stay | |||
| > 4 days | 22 | 32 | < 0.05 |
| < 4 days | 44 | 25 | < 0.05 |
| Complications, n (%) | 11 (33.3) | 22 (66.7) | < 0.05 |
| Dukes stage, n (%) | |||
| A | 35 (81.3) | 8 (18.7) | < 0.05 |
| B | 20 (48.7) | 21 (51.3) | NS |
| C | 8 (25.8) | 23 (74.2) | < 0.05 |
| D | 3 (42.8) | 4 (57.2) | |
| Short course radiotherapy | Long course radiotherapy | |
|---|---|---|
| Stoma reversed | 39 | 18 |
| Stoma non-reversed | 6 | 9 |
| Delayed stoma reversal (> 6 months) | 22 | 10 |
| Early stoma reversal (< 6 months) | 17 | 8 |