Loop-ileostomy reversal in a 23-h stay setting is safe with high patient satisfaction.
Scand J Gastroenterol
; 56(9): 1126-1130, 2021 09.
Article
em En
| MEDLINE
| ID: mdl-34224302
ABSTRACT
INTRODUCTION:
This study aimed to determine whether day-case closure of loop ileostomy with discharge within 23 h was both feasible and accepted by patients. MATERIALS ANDMETHODS:
We conducted a prospective pilot study where selected rectal cancer patients with diverting loop ileostomy underwent stoma closure in a 23-h stay setting. Patients were followed up on the third, seventh, and 30th postoperative day and phoned daily during the first week. A comparable group of 30 patients who underwent standard in-hospital stoma closure prior to the start of the study were selected retrospectively as historical controls.RESULTS:
In total, 30 patients (median age, 67 years; range, 41-79 years) were included. All patients met discharge criteria and were discharged within 23 h of surgery, except one. In total, seven patients (23%) were admitted. Two of these patients underwent laparotomy because of anastomotic leakage and small bowel obstruction, respectively. The mean total length of stay was 1.7 days. Most patients (87%) were satisfied with the treatment without feeling neglected or anxious and preferred the 23-h stay setting. In the control group, the mean length of stay was 5 days. Seven patients (23%) were readmitted. Two of these patients underwent laparotomy because of small bowel obstruction and abscess, respectively.CONCLUSION:
Ileostomy closure in a 23-h stay setting in selected patients with meticulous follow up is feasible and safe with high patient satisfaction. CLINICALTRIALS.GOV NUMBER (NCT02774447).Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ileostomia
/
Satisfação do Paciente
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article