Abstract：
INTRODUCTION:The role for diverting ostomy as a method to help reduce morbidity and mortality has been well established in the combat trauma population. However, factors that influence the type of ostomy used and which ostomies become permanent are poorly studied. We examine patterns of ostomy usage and reversal in a large series of combat trauma patients. METHODS:We performed a retrospective review of combat casualties treated at our continental U.S. military treatment facility from 2003 to 2015. All patients who underwent ostomy formation were included. Clinical and demographic factors were collected for all patients including the type of ostomy and whether or not ostomy reversal took place. Patients were grouped and analyzed based on ostomy type and by ostomy reversal. RESULTS:We identified 202 patients who had ostomies created. End colostomies were most common (N = 149) followed by loop colostomies (N = 34) and end ileostomies (N = 19). Casualties that underwent damage control laparotomy (DCL) were less likely to have a loop colostomy created (p < 0.001). Ostomy reversal occurred in 89.9% of patients. There was no difference in ostomy reversal rates by ostomy type (p = 0.080). Presence of a pelvic fracture was associated with permanent ostomy (OR = 3.28, p = 0.019), but no factor independently predicted a permanent ostomy on multivariate analysis. DISCUSSION:DCL and a severe perineal injury most strongly influence ostomy type selection. Most patients undergo colostomy reversal, and no factor independently predicted an ostomy being permanent. These findings provide a framework for understanding the issue of fecal diversion in the combat trauma population and inform military surgeons about injury patterns and treatment options.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Johnston LR,Bradley MJ,Rodriguez CJ,Mcnally MP,Elster EA,Duncan JEdoi
10.1007/s00268-018-4759-7subject
Has Abstractpub_date
2019-01-01 00:00:00pages
169-174issue
1eissn
0364-2313issn
1432-2323pii
10.1007/s00268-018-4759-7journal_volume
43pub_type
杂志文章abstract：BACKGROUND:Transient postthyroidectomy hypocalcemia occurs in up to 30% of patients. We evaluated the effect of vitamin D deficiency on postthyroidectomy hypocalcemia. METHODS:Data were collected prospectively between January 2006 and March 2009. A total of 166 consecutive total thyroidectomies were analyzed regarding...
journal_title：World journal of surgery
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doi：10.1007/s00268-010-0872-y
更新日期：2011-02-01 00:00:00
abstract：: ...
journal_title：World journal of surgery
pub_type： 评论,信件
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pub_type： 杂志文章,随机对照试验
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更新日期：2013-03-01 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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journal_title：World journal of surgery
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pub_type： 杂志文章,已发布勘误
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更新日期：2019-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
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abstract：BACKGROUND:The quality of surgical performance depends on the technical skills of the surgical team as well as on non-technical skills, including teamwork. The present study evaluated the impact of familiarity among members of the surgical team on morbidity in patients undergoing elective open abdominal surgery. METHO...
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pub_type： 杂志文章
doi：10.1007/s00268-014-2680-2
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-018-4679-6
更新日期：2018-11-01 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：2004-06-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/s00268-002-6739-0
更新日期：2003-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-009-0322-x
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
doi：10.1007/s002680020043
更新日期：2001-04-01 00:00:00
abstract：:This study assessed the results of surgical treatment for Graves' disease in our hospital and examined the relationship between the values of thyroid stimulating hormone (TSH) receptor antibodies and postoperative thyroid function. From 1983 to 1988, subtotal thyroidectomy was performed in 313 patients with Graves' di...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/BF02067345
更新日期：1992-07-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-005-7916-8
更新日期：2005-05-01 00:00:00
abstract：BACKGROUND:Understanding the lymphatic drainage route in gastric cancer is crucial for complete lymph node retrieval from sites susceptible to metastasis. However, the lymphatic stream of the stomach is complex and remains incompletely characterized. METHODS:Patients with small (<4 cm) serosa-negative gastric cancer w...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-009-9985-6
更新日期：2009-06-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-005-0359-4
更新日期：2006-05-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/s002689910044
更新日期：2000-03-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-017-4138-9
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Splenic trauma is a common organ injury following blunt abdominal trauma. In order to establish the contemporary epidemiology of blunt splenic trauma in Scotland and to detect risk factors associated with patient outcomes, analysis of a multi-center database of trauma patients was performed. METHODS:The stu...
journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-007-9218-9
更新日期：2007-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/pl00012311
更新日期：1999-04-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-017-4003-x
更新日期：2017-08-01 00:00:00
abstract：:The metabolic changes in cancer cachexia appear to be mediated by a complex network of proinflammatory cytokines, neuroendocrine hormones, neurotransmitters, eicosanoids, and tumor-derived factors produced by the body in response to the tumor and by the tumor itself. The relative importance of these various mediator p...
journal_title：World journal of surgery
pub_type： 杂志文章,评审
doi：10.1007/s002689910110
更新日期：2000-06-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s002689900641
更新日期：1999-11-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-005-0748-8
更新日期：2007-01-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章
doi：10.1007/s00268-005-0560-5
更新日期：2006-08-01 00:00:00
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journal_title：World journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00268-019-04972-6
更新日期：2019-07-01 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：1998-07-01 00:00:00
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journal_title：World journal of surgery
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更新日期：2016-06-01 00:00:00
