Resumen. La ostomía de alto débito es una complicación frecuen- te en pacientes portadores de ileostomías que está poco identificada y que no suele ser. cual fue la organización nacional de ostomía en los Estados. Unidos desde hasta el . 2. CONTENIDO. COMPLICACIONES DE COLOSTOMIA. Complicaciones de Ostomias – Download as Powerpoint Presentation .ppt), PDF File .pdf), Text File .txt) or view presentation slides online.

Author: Kazisho Kagakinos
Country: Belgium
Language: English (Spanish)
Genre: History
Published (Last): 3 February 2018
Pages: 204
PDF File Size: 4.14 Mb
ePub File Size: 12.99 Mb
ISBN: 517-5-64840-475-6
Downloads: 41482
Price: Free* [*Free Regsitration Required]
Uploader: Malagal

Our series coincides with the most common closure-related complications published in the literature: Dis Colon Rectum ;49 Despite existing beneficial evidence, there is no established indication for performing protective ostomies.

Ileostomías de protección: complicaciones y mortalidad asociadas a su cierre

The approach was via a peristomal incision; the ileostomy was pulled out and the edges refreshed. Postoperative complications Forty-one The rates of closure-related mortality are very varied in the studies published, ranging from 0.

However, ileostomies are not ocmplicaciones their drawbacks as they represent a reduction in the patients’ quality of life 2 and may present various complications, such as hydroelectrolytic alterations, bowel obstruction, infection of soft parts, incisional hernias, etc.

Data were collected retrospectively and entered into a database created for this purpose.

The most important complications were intestinal obstruction We had a high complication rate, compared to other series reporting morbidities of Cir Esp ;84 1: Closure of small bowel stomas on postoperative day Mean length of stay The comp,icaciones length of patient stay was 7. Am J Gastroenterol ;90 7: Dis Colon Rectum ;37 On the one hand, the use of gastrograffin enemas in the immediate postoperative period is not recommended in patients with no clinical suspicion of dehiscence, as the increase in pressure on the anastomosis may lead to a disruption, or to a bacteraemia in the event of a subclinical local septic process; it should therefore not be done before the 6 th -8 th week postoperatively 11 ; moreover, false positive rates of 6.


Minor events included two cases of phlebitis 2.

Manejo de ostomías y prevención de sus complicaciones

The series is made up of 89 patients: Comparison between the 2 groups was made with the Pearson Chi-squared test or Fisher exact test for qualitative variables.

The waiting time until stoma closure, type and frequency of the complications, length of hospital stay and mortality rate are analysed. Ann R Coll Surg Engl ;83 4: Introduction Diverting ileostomies are widely used in colorectal surgery to protect low rectal anastomoses, especially in techniques such as low anterior resection and restorative protocolectomy. The most common diagnosis for previous surgery was rectal neoplasia in 70 patients There were 89 patients: The mean waiting time between creation of the ileostomy and closure was 8 months Computerized tomographic scan-guided drainage of intra-abdominal abscesses.

One of the controversial points is the optimum time interval between the creation of the ileostomy and the time of closure. A study of the safety and clinical efficacy of flexible sigmoidoscopy and colonoscopy after recent colonic surgery in 52 patients.

Protective defunctioning stoma in low anterior resection for rectal carcinoma. There are groups that incline towards an early stoma closure during hospital admission with a view to improving the patients’ quality of life and preventing possible stomal complications, such as Alves et al. The third reoperation was performed in a patient who developed an ischemia of the anastomosis; this was the only death in our series, caused by septic shock secondary to peritonitis on day 7 after the second operation.


Data collection Data were collected retrospectively and entered into a database created for this purpose. Complications in colorectal surgery have decreased in recent years due to the creation of specialised units 4 ; however, when they occur they ostomiass high rates of morbidity and mortality, especially the feared anastomotic dehiscence.

Br J Surg ;95 6: Morbidity and mortality after closure of loop ileostomy. Clinical results of loop ileostomy closures in rectal cancer surgical patients.

Another of the points for discussion is the type of anastomosis to perform in the ileostomy closure. Although in the literature groups as of the Thalmeir et al. J Gastrointest Surg ;12 5: However, other studies, such as the meta-analysis conducted by Leung, find no significant differences between the two modes of reconstruction Results Waiting time before surgery The mean waiting time between creation of the ileostomy and closure was 8 months