Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 7, Number 9, September 2015, pages 685-689

Defunctioning Ileostomy Reversal Rates and Reasons for Delayed Reversal: Does Delay Impact on Complications of Ileostomy Reversal? A Study of 170 Defunctioning Ileostomies

Tables

Table 1. Patient Characteristics and Dukes Classification
 
Dukes classification
A (n = 49)B (n = 57)C (n = 48)D (n = 16)
Median age, years69706867
Male, n (%)29 (59)46 (80)34 (71)8 (50)
Ileostomies reversed, n (%)47 (96)41 (72)32 (67)7 (44)

 

Table 2. Reasons for Delayed Reversal of Ileostomy
 
Postoperative adjuvant chemotherapy35% (22/63)
No health-related reason identified22% (14/63)
Non-surgical complications
  CABG (n = 1)
  PE (n = 1)
  Renal failure (n = 8)
  Prolonged postoperative fatigue (n = 2)
  Patient wishes (n = 2)		22% (14/63)
Surgical complications
  Symptomatic anastomotic leakage 14% (9/63)
  Adhesive SBO 5% (3/63)
  Anastomotic stricture 2% (1/63)		21% (13/63)

 

Table 3. Patient Characteristics and Timing of Reversal of Ileostomy
 
Timing of ileostomy reversal
Non delayedDelayedP value
Total number, N (%)64 (50.3%)63 (49.7%)NS
Male, n (%)38 (46.3%)44 (53.7%)NS
Female, n (%)31 (68.8%)14 (31.2%)0.05
Mean age, years6967NS
Median length of inpatient stay
  > 4 days2232< 0.05
  < 4 days4425< 0.05
Complications, n (%)11 (33.3)22 (66.7)< 0.05
Dukes stage, n (%)
  A35 (81.3)8 (18.7)< 0.05
  B20 (48.7)21 (51.3)NS
  C8 (25.8)23 (74.2)< 0.05
  D3 (42.8)4 (57.2)

 

Table 4. Neo-adjuvant Treatment and Timing of Reversal of Ileostomy
 
Short course radiotherapyLong course radiotherapy
Stoma reversed3918
Stoma non-reversed69
Delayed stoma reversal (> 6 months)2210
Early stoma reversal (< 6 months)178