Bong-Hyeon Kye1, Hyung-Jin Kim, Jun-Gi Kim, Hyeon-Min Cho. 1. Department of Surgery, St. Vincent Hospital, The Catholic University of Korea, 93-6, Ji-dong, Paldal-gu, Suwon-si, Gyeonggi-do, 442-723, Republic of Korea.
Abstract
PURPOSE: Diverting stomas following rectal cancer surgery can affect patients' quality of life, and their complications may negatively affect patients' long-term outcomes and quality of life. The purpose of this study is to investigate the relationship between diverting stoma-related complications and nutritional status. METHODS: In a retrospective study of 114 patients aged 65 years and older who underwent diverting loop ileostomy following rectal cancer surgery between June 2004 and March 2011, we analyzed retrospectively diverting stoma-related complications and nutrition status for the following time periods: before stoma construction, before stoma closure, and after stoma closure. RESULTS: Complications related to the diverting stoma developed in 24 (21.1%) patients and complications related to stoma closure in 11 (9.6%) patients. Nutritional screening performed prior to stoma closure showed that patients who experienced stoma formation-related complications had lower albumin levels (P = 0.016) and lower total lymphocytes (P = <0.0001). Body weight loss was more severe in patients with stoma-related complication (P = 0.036). CONCLUSIONS: Diverting stoma-related complications may affect patient's nutritional status. Stoma closure operation and proper nutritional support may be important for avoiding complications and improving patients' long-term outcomes and quality of life.
PURPOSE: Diverting stomas following rectal cancer surgery can affect patients' quality of life, and their complications may negatively affect patients' long-term outcomes and quality of life. The purpose of this study is to investigate the relationship between diverting stoma-related complications and nutritional status. METHODS: In a retrospective study of 114 patients aged 65 years and older who underwent diverting loop ileostomy following rectal cancer surgery between June 2004 and March 2011, we analyzed retrospectively diverting stoma-related complications and nutrition status for the following time periods: before stoma construction, before stoma closure, and after stoma closure. RESULTS: Complications related to the diverting stoma developed in 24 (21.1%) patients and complications related to stoma closure in 11 (9.6%) patients. Nutritional screening performed prior to stoma closure showed that patients who experienced stoma formation-related complications had lower albumin levels (P = 0.016) and lower total lymphocytes (P = <0.0001). Body weight loss was more severe in patients with stoma-related complication (P = 0.036). CONCLUSIONS: Diverting stoma-related complications may affect patient's nutritional status. Stoma closure operation and proper nutritional support may be important for avoiding complications and improving patients' long-term outcomes and quality of life.
Authors: Marc Schiesser; Sven Müller; Philipp Kirchhoff; Stefan Breitenstein; Markus Schäfer; Pierre-Alain Clavien Journal: Clin Nutr Date: 2008-03-17 Impact factor: 7.324
Authors: K C M J Peeters; R A E M Tollenaar; C A M Marijnen; E Klein Kranenbarg; W H Steup; T Wiggers; H J Rutten; C J H van de Velde Journal: Br J Surg Date: 2005-02 Impact factor: 6.939
Authors: Biljana Gigic; Heiner Boeing; Reka Toth; Jürgen Böhm; Nina Habermann; Dominique Scherer; Petra Schrotz-King; Clare Abbenhardt-Martin; Stephanie Skender; Hermann Brenner; Jenny Chang-Claude; Michael Hoffmeister; Karen Syrjala; Paul B Jacobsen; Martin Schneider; Alexis Ulrich; Cornelia M Ulrich Journal: Nutr Cancer Date: 2017-12-15 Impact factor: 2.900
Authors: Anuradha R Bhama; Farwa Batool; Stacey D Collins; Jane Ferraro; Robert K Cleary Journal: J Gastrointest Surg Date: 2017-10-02 Impact factor: 3.452