Abstract:
INTRODUCTION:Derivative ileostomies are frequently performed to protect low anastomosis. The closure of the ileostomy has shown, under some circumstances, high associated mortality/morbidity rates. This study attempts to quantify the morbidity and mortality associated with ileostomy closure in rectal neoplasm patients and to determine if the length of time between the procedure of construction and closure increases the morbidity/mortality. MATERIAL AND METHOD:A retrospective study was performed, using the database of the colo-rectal surgical group in the department of general surgery. The subjects were the 62 patients treated between January 1, 2000 and December 31, 2006 who received both a low anterior resection to treat rectal neoplasm and a subsequent ileostomy closure. RESULTS:The mean patient age was 65 years (38-83) and consisted of 19 women (30.7%) and 43 men (69.3%). The mean time between the construction and closure was 10.48 months (2-56) and the mean hospital stay was 7.8 days (3-32). The overall morbidity/mortality rate was 33.8% and 6.4%. The most frequent surgical complications were postoperative intestinal occlusion (16.9%) and wound infection (11.2%). CONCLUSIONS:The study showed high morbidity/mortality rate for the closure of temporary ileostomy. Patients who received the closure more than 11.65 months after the low anterior resection had significantly higher morbidity/mortality rates.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Flikier-Zelkowicz B,Codina-Cazador A,Farrés-Coll R,Olivet-Pujol F,Martín-Grillo A,Pujadas-de Palol Mdoi
10.1016/s0009-739x(08)70598-0subject
Has Abstractpub_date
2008-07-01 00:00:00pages
16-9issue
1eissn
0009-739Xissn
1578-147Xpii
S0009-739X(08)70598-0journal_volume
84pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract::The correct application of multimodal analgesia appropriate to the pain intensity, the characteristics of the surgery and the hospitalisation scheme provide the key to improving the management of postoperative pain, which is currently still under treated. In highly complex surgeries the best benefit is obtained by com...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.03.028
更新日期:2009-08-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to analyze prognostic factors for survival and recurrence in patients with resected pancreatic neuroendocrine tumors (PNT). METHODS:Medical records of 95 patients with resected PNT were retrospectively reviewed. The variables studied were: age, sex, form of presentation (sporadic...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.05.010
更新日期:2016-10-01 00:00:00
abstract:AIM:To assess the value of using smooth muscle relaxants drugs and assess the results of the topical use of 2% diltiazem as an alternative to 0.2% nitroglycerin in the treatment of chronic anal fissure (CAF). METHODS:Review of the CAF contained in a prospectively collected database of anal fissures including one hundr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.12.013
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION:Intrahepatic cholangiocarcinoma is a primary liver neoplasm whose only curative treatment is surgery. The objective of this study was to determine the prognostic factors for survival of intrahepatic cholangiocarcinoma treated surgically with curative intent. METHODS:Sixty-seven patients who had been treat...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.07.003
更新日期:2020-09-10 00:00:00
abstract:INTRODUCTION:Chronic idiopathic anal pain (CIAP) remains a diagnosis of exclusion. Its study and management still lack a standardized protocol. The aim of this study is to evaluate the results obtained with the diagnostic-therapeutic protocol established in our service. MATERIAL AND METHODS:We performed a retrospectiv...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.09.012
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To determine the proportion of inappropriate days of hospitalization in the general surgery wards of three university hospitals, its causes, and associated factors. MATERIAL AND METHOD:We concurrently reviewed 596 days of hospitalisation during a 1-week period in 2000, using the Appropriateness Evaluation Pr...
journal_title:Cirugia espanola
pub_type: 杂志文章,多中心研究
doi:10.1016/s0009-739x(05)70913-1
更新日期:2005-09-01 00:00:00
abstract:INTRODUCTION:An analysis is presented of the results in the treatment of morbid obesity after 12 years experience. MATERIAL AND METHODS:A retrospective study of patients subjected to surgery for morbid obesity from July 1998 to April 2010. Open techniques were initially used, and from January 2005 using biliopancreati...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.05.005
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION:Up to 93% of patients undergoing abdominal surgery will develop intra-abdominal adhesions with the subsequent morbidity that they represent. Various substances have been tested for the prevention of adhesions with controversial results; the aim of our study is to compare the capability of pirfenidone in ad...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.06.005
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:The reported prevalence rate of bile duct cysts is very low. However, the clinical presentation of bile duct cysts is common to other hepatobiliary diseases. In this article, we report on a series of patients who have been surgically treated over the last 15 years. MATERIAL AND METHOD:All the patients who ha...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)75917-7
更新日期:2008-11-01 00:00:00
abstract::Gastric epithelial dysplasia is a premalignant lesion. Diagnostic and therapeutic criteria are controversial. We report the case of a 52-year-old woman admitted to our hospital. ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71304-0
更新日期:2007-04-01 00:00:00
abstract::Iatrogenic gastric rupture is a rarely reported complication of cardiopulmonary resuscitation. Rupture can occur during chest compressions or imperfect ventilation. We present the case of 1 patient with a tension pneumoperitoneum after cardiopulmonary resuscitation by lay persons. ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71258-7
更新日期:2007-01-01 00:00:00
abstract:INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.08.005
更新日期:2009-12-01 00:00:00
abstract::In most patients with chronic gastroesophageal reflux disease, treatment is medical. Among the main elements involved in treatment are general dietary measures, lifestyle habits, and patients' attitudes to symptom control. The present article summarizes the scientific foundations that support these measures: head elev...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(07)71265-4
更新日期:2007-02-01 00:00:00
abstract:INTRODUCTION:Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.12.002
更新日期:2021-01-20 00:00:00
abstract::The present article aims to introduce and explain basic concepts in survival analysis. Most survival analyses use terms such as Kaplan-Meyer, logrank, and censored times, among others. We discuss the background to these terms and their interpretation. We discuss how to produce and interpret survival curves and how to ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70923-4
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:Nodular thyroid disease possesses the potential to harbor malignancy. Our aim was to evaluate the significance of cervical diffusion-weighted magnetic resonance imaging (DW-MRI) for the detection of malignant thyroid nodules. METHODS:Sixty-five thyroid nodules from 58 patients who had undergone surgery were ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.04.016
更新日期:2018-12-01 00:00:00
abstract::Despite recent advances in the medical treatment of ulcerative colitis (UC), approximately 25-40% of patients will need surgery during their disease. The aim of elective surgical treatment of UC is to remove the colon/and rectum with minimal postoperative morbidity, and to offer a good long-term quality of life. There...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2012.07.019
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:Some perianal pathologies require aggressive surgery that will need techniques to allow to re-establish the integrity of the perianal region. The purpose is to analyze short and long term results after perineal reconstruction with V-Y flaps. METHODS:A retrospective review of prospectively collected database...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.06.006
更新日期:2016-11-01 00:00:00
abstract::Serrated polyps of the colorectum are a heterogeneous group of lesions with potential malignant transformation through the «serrated pathway» of carcinogenesis. The discovery of these lesions has been a paradigm shift in the concept of the adenoma-carcinoma sequence, so that up to 30% of tumors develop through this pa...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2012.12.001
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:The population over 65 years old represents 40-50% of the all visits made to an emergency department (ED). Some situations of stress and dehumanization can occur due to user overflow. Our target is to identify factors influencing overall satisfaction of patients older than 65 attended in the ED, in order t...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)70565-7
更新日期:2008-05-01 00:00:00
abstract:INTRODUCTION:The morbidity and mortality, along with the functional changes that arise from radical surgery of rectal cancer, has led to an increasing interest in local treatment in the early stages of cancer of the rectum. Conventional transanal surgery has a high recurrence rate, for this reason transanal endoscopic ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.09.006
更新日期:2011-01-01 00:00:00
abstract::Adenocarcinoma (ADC) of the anal canal is a rare disease comprising only 5% of all anorectal neoplasias and 1.5% of all gastrointestinal tumours. The World Health Organisation classifies anal ADC into 3 types: the first may arise from the mucosa of the transitional zone in the upper canal, the second from the anal gla...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2013.01.002
更新日期:2013-05-01 00:00:00
abstract::The selection of patients with hepatocellular carcinoma (HCC) for liver transplantation must be improved. One of the methods proposed to achieve this objective consists of including predictors of tumour aggressiveness to the decision making algorithm. The procedures that would enable this characteristic to be assessed...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2009.11.026
更新日期:2010-03-01 00:00:00
abstract::In some patients with colorectal cancer and synchronous liver metastases, chemotherapy and current combinations of chemotherapy allow the size of these metastases to be reduced so that they can be surgically resected. However, in many patients, the initial systematic treatment of the primary tumor is associated with g...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71713-x
更新日期:2007-10-01 00:00:00
abstract::Gastrointestinal bleeding is considered to be obscure when routine endoscopic techniques (esophagogastroscopy and colonoscopy) fail to identify the origin of the hemorrhage. These hemorrhages represent 5% of all gastrointestinal bleeding. Twenty-seven percent of these hemorrhages are due to small bowel disease and gas...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71729-3
更新日期:2007-11-01 00:00:00
abstract::The imbalance between the number of potential beneficiaries and available organs, originates the search for new therapeutic alternatives, such as Hepatocyte transplantation (HT).Even though this is a treatment option for these patients, the lack of unanimity of criteria regarding indications and technique, different c...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2013.04.010
更新日期:2014-02-01 00:00:00
abstract:INTRODUCTION:Currently, there is growing interest in analyzing the results from surgical units and the implementation of quality standards in order to identify good healthcare practices. Due to this fact, the Spanish Association of Coloproctology (AECP) has developed a unit accreditation program that contemplates basic...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.02.008
更新日期:2018-04-01 00:00:00
abstract::The primary treatment of metastatic breast cancer is chemotherapy and radiotherapy, while surgery is reserved for treating local complications associated with the tumour. The survival in this group of patients has increased with the use of new chemotherapy and biological agents. A series of retrospective studies have ...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(08)70507-4
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia in the period 1997-2010. PATIENTS AND METHODS:Prospective observational study of 1,601 consecutive patients ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.08.009
更新日期:2013-03-01 00:00:00
abstract::Intraoperative peripheral nerve injury during colorectal surgery procedures is a potentially serious complication that is often underestimated. The Trendelenburg position, use of inappropriately padded armboards and excessive shoulder abduction may encourage the development of brachial plexopathy during laparoscopic p...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.03.008
更新日期:2016-03-01 00:00:00