scholarly journals Organ/space infection is a common cause of high output stoma and outlet obstruction in diverting ileostomy

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yutaro Hara ◽  
Takuya Miura ◽  
Yoshiyuki Sakamoto ◽  
Hajime Morohashi ◽  
Hayato Nagase ◽  
...  
Keyword(s):  
Outlet Obstruction ◽  
Diverting Ileostomy ◽  
Common Cause ◽  
Space Infection ◽  
Organ Space Infection ◽  
High Output

scholarly journals Organ/space infection is a common cause of high output stoma and outlet obstruction in diverting ileostomy

2020 ◽  
Author(s):  
Yutaro Hara ◽  
Takuya Miura ◽  
Yoshiyuki Sakamoto ◽  
Hajime Morohashi ◽  
Hayato Nagase ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Univariate Analysis ◽  
Outlet Obstruction ◽  
Related Factor ◽  
Diverting Ileostomy ◽  
Related Factors ◽  
Space Infection ◽  
Wbc Count ◽  
Organ Space Infection ◽  
High Output

Abstract Aim: The objectives of this study are to identify causes of high-output stoma (HOS) and outlet obstruction (OO), which are major complications of diverting ileostomy. Methods: A retrospective analysis was performed in 103 patients who underwent colorectal surgery and diverting ileostomy between December 2015 and November 2018. Results: HOS was found in 32 patients (31.1%) and OO in 19 (18.4%). Organ/space surgical site infection (SSI), anastomotic leakage and OO were significant HOS-related factors in univariate analysis, and OO (odds ratio [OR] 3.39, p=0.034) was a independent HOS-related factor in multivariate analysis. Organ/space SSI and male were significant OO-related factors in univariate analysis, and organ/space SSI (OR 3.77, p=0.018) was a independent OO-related factor in multivariate analysis. The white blood cell (WBC) count on postoperative day (POD) 3 was significantly higher in the HOS group compared to the non-HOS group (9765 vs. 8130 /mL, p<0.05), and the WBC count (9400 vs. 7475 /mL, p<0.05) and C-reactive protein level (6.01 vs. 2.92 mg/L, p<0.05) on POD 6 were significantly higher in the OO group compared to the non-OO group.Conclusion: Organ/space infection is involved in the common pathology of HOS and OO. Decreased intestinal absorption due to intestinal edema caused by organ/space SSI and relative stenosis at the abdominal wall-penetrating site are major causes of HOS and OO.

scholarly journals Organ/space infection is a common cause of high output stoma and outlet obstruction

2019 ◽  
Author(s):  
Yutaro Hara ◽  
Takuya Miura ◽  
Yoshiyuki Sakamoto ◽  
Hajime Morohashi ◽  
Hayato Nagase ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Univariate Analysis ◽  
Outlet Obstruction ◽  
Related Factor ◽  
Diverting Ileostomy ◽  
Related Factors ◽  
Space Infection ◽  
Wbc Count ◽  
Organ Space Infection ◽  
High Output

Abstract Aim: The objectives of this study are to identify causes of high-output stoma (HOS) and outlet obstruction (OO), which are major complications of diverting ileostomy. Methods: A retrospective analysis was performed in 103 patients who underwent colorectal surgery and diverting ileostomy between December 2015 and November 2018. Results: HOS was found in 32 patients (31.1%) and OO in 19 (18.4%). Organ/space surgical site infection (SSI), anastomotic leakage and OO were independent HOS-related factors in univariate analysis, and OO (odds ratio [OR] 3.82, p=0.022) was a independent HOS-related factor in multivariate analysis. Organ/space SSI and HOS were independent OO-related factors in univariate analysis, and organ/space SSI (OR 3.69, p=0.02) was a independent OO-related factor in multivariate analysis. The white blood cell (WBC) count on postoperative day (POD) 3 was significantly higher in the HOS group compared to the non-HOS group (9765 vs. 8130 /mL, p<0.05), and the WBC count (9400 vs. 7475 /mL, p<0.05) and C-reactive protein level (6.01 vs. 2.92 mg/L, p<0.05) on POD 6 were significantly higher in the OO group compared to the non-OO group. Conclusion: Organ/space infection is involved in the common pathology of HOS and OO. Decreased intestinal absorption due to intestinal edema caused by organ/space SSI and relative stenosis at the abdominal wall-penetrating site are major causes of HOS and OO

Risk factors for outlet obstruction after laparoscopic surgery and diverting ileostomy for rectal cancer

Surgery Today ◽  
2020 ◽  
Author(s):  
Shigemasa Sasaki ◽  
Toshiya Nagasaki ◽  
Koji Oba ◽  
Takashi Akiyoshi ◽  
Toshiki Mukai ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Outlet Obstruction ◽  
Diverting Ileostomy

Association of postoperative organ space infection after intraoperative irrigation in appendicitis

2018 ◽  
Vol 84 (4) ◽  
pp. 628-635 ◽  
Author(s):  
Matthew C. Hernandez ◽  
Eric J. Finnesgard ◽  
Johnathon M. Aho ◽  
Donald H. Jenkins ◽  
Martin D. Zielinski
Keyword(s):  
Space Infection ◽  
Organ Space Infection

Disease Severity, Not Operative Approach, Drives Organ Space Infection After Pediatric Appendectomy

2014 ◽  
Vol 260 (3) ◽  
pp. 466-473 ◽  
Author(s):  
Kristin N. Kelly ◽  
Fergal J. Fleming ◽  
Christopher T. Aquina ◽  
Christian P. Probst ◽  
Katia Noyes ◽  
...  
Keyword(s):  
Disease Severity ◽  
Operative Approach ◽  
Space Infection ◽  
Organ Space Infection

scholarly journals Advanced T stage and thick rectus abdominis muscle triggers outlet obstruction and high-output stoma following ileostomy in patients with rectal cancer

2020 ◽  
Author(s):  
Yasuhiro Komatsu ◽  
Kunitoshi Shigeyasu ◽  
Yoshiko Mori ◽  
Kazutaka Takahashi ◽  
Nanako Hata ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Outlet Obstruction ◽  
Muscle Thickness ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
T Stage ◽  
Common Risk Factors ◽  
Postoperative Problems ◽  
High Output

Abstract Background Ileostomy creation is an excellent approach to prevent leakage in patients undergoing low anterior resection for the treatment of rectal cancer. However, the two major complications of ileostomy are outlet obstruction and high-output stoma, and these complications remain unavoidable postoperative problems of ileostomy. Methods Risk factors associated with outlet obstruction and high-output stoma were retrospectively analyzed. The study included 83 patients with rectal cancer who underwent surgery. Of these patients, 34 underwent ileostomy creation. Results We found that outlet obstruction and high-output stoma were highly related (p = 0.03). Additionally, a thick rectus abdominis muscle and advanced T stage were the common risk factors of outlet obstruction (p = 0.0005 and p = 0.01, respectively) and high-output stoma (p = 0.04 and p = 0.03, respectively). Conclusions Our findings suggest that rectus abdominis muscle thickness and advanced T stage are predictive markers of outlet obstruction and high-output stoma.

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