論文

査読有り
2017年3月

Clinical Characteristics of Stoma-Related Obstruction after Ileal Pouch-Anal Anastomosis for Ulcerative Colitis

JOURNAL OF GASTROINTESTINAL SURGERY
  • Yoshiki Okita
  • ,
  • Toshimitsu Araki
  • ,
  • Satoru Kondo
  • ,
  • Hiroyuki Fujikawa
  • ,
  • Shigeyuki Yoshiyama
  • ,
  • Junichiro Hiro
  • ,
  • Mikihiro Inoue
  • ,
  • Yuji Toiyama
  • ,
  • Minako Kobayashi
  • ,
  • Masaki Ohi
  • ,
  • Yasuhiro Inoue
  • ,
  • Keiichi Uchida
  • ,
  • Yasuhiko Mohri
  • ,
  • Masato Kusunoki

21
3
開始ページ
554
終了ページ
559
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s11605-016-3329-2
出版者・発行元
SPRINGER

We defined small bowel obstruction occurring around the limbs of the ileostomy as stoma-related obstruction (SRO) and investigated the clinical characteristics and predictive factors of SRO.
From January 2002 to March 2016, 309 consecutive patients who underwent ileal pouch-anal anastomosis (IPAA) for ulcerative colitis were enrolled. Two-stage IPAA with diverting ileostomy was analyzed. We assessed the possible associations between SRO and clinical factors.
A total of 205 patients met the inclusion criteria. Fifty-three (25.8%) patients with SRO before ileostomy closure were identified for review. All patients with SRO were at least transiently resolved by intubation though orifice of ileostomy (98.1%) or nasally (3.7%). In 18 (33.9%) patients, the ileostomy was taken down ahead of schedule and the small bowel obstruction improved in all cases. Multivariate analysis revealed that age at surgery < 16 years old and body mass index < 21 were significant predictive factors for SRO (P = 0.013 and 0.0012, respectively).
Younger age at surgery and low body mass index may be significant predictive factors for SRO after IPAA with diverting ileostomy in patients with ulcerative colitis.

Web of Science ® 被引用回数 : 6

リンク情報
DOI
https://doi.org/10.1007/s11605-016-3329-2
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27896653
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000395392100015&DestApp=WOS_CPL

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