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Article: Small bowel obstruction following low anterior resection: The impact of diversion ileostomy

TitleSmall bowel obstruction following low anterior resection: The impact of diversion ileostomy
Authors
KeywordsIleostomy
Rectal surgery
Small bowel obstruction
Issue Date2004
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00423/
Citation
Langenbeck's Archives Of Surgery, 2004, v. 389 n. 4, p. 250-255 How to Cite?
AbstractBackground: The incidence of small bowel obstruction following rectal cancer surgery has not been well documented in the era of sphincter-preserving surgery. This report aimed to study the incidence, aetiologies and outcomes of small bowel obstruction in patients after low anterior resection for rectal cancer. The factors that might affect the incidences of small bowel obstruction were analysed. Methods: Consecutive patients who had undergone low anterior resection for rectal cancer from August 1993 to March 1999 were studied. Patients with unplanned admissions, with the diagnosis of small bowel obstruction, were reviewed. The aetiologies and outcome of small bowel obstruction were documented. Results: Two hundred and fourteen patients were included, with a median follow-up time of 39 months; 22 patients presented with 30 episodes of small bowel obstruction, and operations were necessary in nine patients (40.9%). Malignant obstruction occurred in two patients (10.3%). Obstruction within 6 weeks of surgery (including closure of stoma) occurred in 13 patients (6.1%). Early obstruction occurred at a higher incidence in those patients who had had an ileostomy than in those who did not (9.1% vs 2.9%, P=0.048). Conclusion: Small bowel obstruction following rectal cancer surgery occurred in 10.3% of patients. The majority of the obstruction was benign in nature. The presence of diversion ileostomy was associated with an increased incidence of early obstruction, and the use of loop ileostomy for proximal diversion should be further assessed.
Persistent Identifierhttp://hdl.handle.net/10722/147689
ISSN
2015 Impact Factor: 2.149
2015 SCImago Journal Rankings: 1.080
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorChu, KWen_HK
dc.date.accessioned2012-05-29T06:07:57Z-
dc.date.available2012-05-29T06:07:57Z-
dc.date.issued2004en_HK
dc.identifier.citationLangenbeck's Archives Of Surgery, 2004, v. 389 n. 4, p. 250-255en_HK
dc.identifier.issn1435-2443en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147689-
dc.description.abstractBackground: The incidence of small bowel obstruction following rectal cancer surgery has not been well documented in the era of sphincter-preserving surgery. This report aimed to study the incidence, aetiologies and outcomes of small bowel obstruction in patients after low anterior resection for rectal cancer. The factors that might affect the incidences of small bowel obstruction were analysed. Methods: Consecutive patients who had undergone low anterior resection for rectal cancer from August 1993 to March 1999 were studied. Patients with unplanned admissions, with the diagnosis of small bowel obstruction, were reviewed. The aetiologies and outcome of small bowel obstruction were documented. Results: Two hundred and fourteen patients were included, with a median follow-up time of 39 months; 22 patients presented with 30 episodes of small bowel obstruction, and operations were necessary in nine patients (40.9%). Malignant obstruction occurred in two patients (10.3%). Obstruction within 6 weeks of surgery (including closure of stoma) occurred in 13 patients (6.1%). Early obstruction occurred at a higher incidence in those patients who had had an ileostomy than in those who did not (9.1% vs 2.9%, P=0.048). Conclusion: Small bowel obstruction following rectal cancer surgery occurred in 10.3% of patients. The majority of the obstruction was benign in nature. The presence of diversion ileostomy was associated with an increased incidence of early obstruction, and the use of loop ileostomy for proximal diversion should be further assessed.en_HK
dc.languageengen_US
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00423/en_HK
dc.relation.ispartofLangenbeck's Archives of Surgeryen_HK
dc.subjectIleostomyen_HK
dc.subjectRectal surgeryen_HK
dc.subjectSmall bowel obstructionen_HK
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshChi-Square Distributionen_US
dc.subject.meshContrast Mediaen_US
dc.subject.meshDiatrizoate Meglumine - Diagnostic Useen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshIntestinal Obstruction - Diagnosis - Epidemiology - Etiologyen_US
dc.subject.meshIntestine, Smallen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complications - Diagnosis - Epidemiology - Etiologyen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRectal Neoplasms - Surgeryen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleSmall bowel obstruction following low anterior resection: The impact of diversion ileostomyen_HK
dc.typeArticleen_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid15103466-
dc.identifier.scopuseid_2-s2.0-4344682610en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-4344682610&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume389en_HK
dc.identifier.issue4en_HK
dc.identifier.spage250en_HK
dc.identifier.epage255en_HK
dc.identifier.isiWOS:000223262300003-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridChu, KW=7402453653en_HK

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