Abstract：
INTRODUCTION:Parastomal hernia (PH) is a frequent complication after end-colostomy formation. PH may negatively influence the quality of life in end-colostomy patients. Our study investigates the quality of life and body image (BI) in patients with an end-colostomy. METHODS:We conducted a cross-sectional study of end-colostomy patients in two different hospitals. Patients were included if they had received a Hartmann procedure or abdominal perineal resection between 2004 and 2011. Patients were invited to the outpatient clinic for clinical examination to determine if a PH was present and were asked to fill out the Short form 36, EuroQol-5D, and body image questionnaire (BIQ). RESULTS:One-hundred-and-fifty patients were eligible for the study; 139 filled out the questionnaires, of which 79 (56.8 %) had developed a PH. A linear multivariate regression showed PH caused a decrease in physical functioning (difference -10.2, p = 0.033) and general health (difference -9.0, p = 0.021), increase in pain (difference -11.3, p = 0.009) and decrease in the overall physical component score (difference -4.8, p = 0.020). The BIQ showed that PH increased the shame of the scar (difference -0.4, p = 0.010). Having an incisional hernia simultaneously decreased patients' scoring of the scar in the BIQ (difference -0.99, p = 0.015). DISCUSSION:PHs cause significant decreases in quality of life and BI of patients. Counseling of patients towards PH and prevention of PH should therefore be of more concern in surgical departments.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
van Dijk SM,Timmermans L,Deerenberg EB,Lamme B,Kleinrensink GJ,Jeekel J,Lange JFdoi
10.1007/s00268-015-3107-4subject
Has Abstractpub_date
2015-10-01 00:00:00pages
2595-601issue
10eissn
0364-2313issn
1432-2323journal_volume
39pub_type
杂志文章abstract：:Congenital short colon (CSC) is a condition in which the colon is replaced, wholly or partially, by a dilated pouch together with anorectal malformation and a colourinary fistula. Most of the reported series have been from northern India where this malformation is frequent. This paper details the management of 108 pat...
journal_title：World journal of surgery
pub_type： 临床试验,杂志文章
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更新日期：1996-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章,随机对照试验
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更新日期：2012-10-01 00:00:00
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journal_title：World journal of surgery
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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journal_title：World journal of surgery
pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：2016-10-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2007-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2010-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：1998-02-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2009-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2021-01-08 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2016-09-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-005-7721-4
更新日期：2005-10-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-007-9385-8
更新日期：2008-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-015-2958-z
更新日期：2015-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-014-2691-z
更新日期：2014-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2012-12-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：1996-09-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/BF01659083
更新日期：1993-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s002689910063
更新日期：2000-04-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
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更新日期：1997-09-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2010-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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更新日期：2003-08-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：2014-06-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-019-05344-w
更新日期：2020-05-01 00:00:00
