Defunctioning ileostomy closure following low anterior resection by chemotherapy.

Abstract:

AIM:The aim of this study is to review the time between formation and closure of loop ileostomies following total mesorectal excision in patients with rectal cancer. PATIENTS AND METHODS:A retrospective study of 170 patients who underwent low anterior resection for rectal cancer, between 1990 and 2009. Loop ileostomies were created in 8 patients. RESULTS:Of the 8 patients with defunctioning loop ileostomies, 4 received adjuvant chemo-radiotherapy, 3 received neo-adjuvant chemo-radiotherapy and 1 did not receive anything. There was 12.5% morbidity. The time from formation to closure for the patient with no adjuvant therapy was 3 months and for those with adjuvant therapy was 7 months. This was a significant delay. CONCLUSION:Time between formation and closure of loop ileostomy following anterior resection of rectum is significantly delayed by adjuvant chemotherapy.

journal_name

Tech Coloproctol

authors

Vrakas G,Pramateftakis MG,Kanellos D,Sapidis S,Hatzigianni P,Tsachalis T,Kanellos I,Lazaridis Ch

doi

10.1007/s10151-010-0628-6

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

S77-8

eissn

1123-6337

issn

1128-045X

journal_volume

14 Suppl 1

pub_type

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