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Yetişir F, Şarer A, Acar HZ, et al. The Reversal of Stoma Following Open Abdomen Management. Indian J Surg. 2015;78(3):182-6doi: 10.1007/s12262-015-1336-2.
Yetişir, F., Şarer, A., Acar, H. Z., & Çiftciler, E. (2016). The Reversal of Stoma Following Open Abdomen Management. The Indian journal of surgery, 78(3), 182-6. https://doi.org/10.1007/s12262-015-1336-2
Yetişir, Fahri, et al. "The Reversal of Stoma Following Open Abdomen Management." The Indian journal of surgery vol. 78,3 (2016): 182-6. doi: https://doi.org/10.1007/s12262-015-1336-2
Yetişir F, Şarer A, Acar HZ, Çiftciler E. The Reversal of Stoma Following Open Abdomen Management. Indian J Surg. 2016 Jun;78(3):182-6. doi: 10.1007/s12262-015-1336-2. Epub 2015 Sep 05. PMID: 27358511; PMCID: PMC4907905.
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Indian J Surg. 2016 Jun;78(3):182-6. doi: 10.1007/s12262-015-1336-2. Epub 2015 Sep 05.

The Reversal of Stoma Following Open Abdomen Management.

The Indian journal of surgery

Fahri Yetişir, AkgünEbru Şarer, H Zafer Acar, Erdinç Çiftciler

Affiliations

  1. General Surgery Department, Atatürk Research and Training Hospital, Ankara, Turkey.
  2. Anesthesiology and Reanimation Department, Research and Training Hospital, Ankara, Turkey.
  3. General Surgery Department, Bozok University, Yozgat, Turkey.

PMID: 27358511 PMCID: PMC4907905 DOI: 10.1007/s12262-015-1336-2

Abstract

Bowel stoma formation is very often required during open abdomen (OA) management; we aim to report our stoma reversal series following OA management retrospectively. A retrospective analysis of 31 patients who underwent the reversal of the stoma created during OA management between January 2008 and September 2014 was performed. Twenty-eight of these 31 patients were included in this study. The stoma-related complications are more common after OA management during waiting time interval for reversal. At this time interval, patients with jejunostomy had more stoma-related complications than patients with ileostomy (p = 0.008) and colostomy. (p = 0.001). Waiting time interval was shorter for reversal of jejunostomy than reversal of ileostomy (p = 0.014) and colostomy (p = 0.001). Operation time for jejunostomy (p = 0.016) and colostomy reversal (p = 0.001) were significantly longer than the ileostomy reversal. There was no difference between early and late reversal of stoma regarding morbidity and mortality. The stoma-related complications are more common following OA management during waiting time interval for stoma reversal. The reversal time is more critical for this kind of patients especially with life-threatening complicated jejunostomy. For loop stoma created during OA management, the reversal may be performed after average 50 days without increasing morbidity and mortality. The reversal of end stoma created during OA management has high morbidity. If it is possible, loop stoma should be preferred during OA management.

Keywords: Early reversal; Open abdomen; Stoma reversal; Stoma-related complication

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