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《Journal of Abdominal Surgery》 2018-04
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Clinical study of automatic closing protective ileostomy in high risk colorectal anastomosis

Wang Zulai;Huang Shunrong;Deng Chiduo;Sun Weifeng;Yu Min;Zhong Xuemei;Li Dongme;The People's Hospital of Guangxi,Guidong;  
Objective To investigate the clinical value of automatic closing protective ileostomy in high-risk colorectal anastomosis.Methods A retrospective analysis was performed on 59 cases of high-risk colorectal anastomosis from July 2014 to December 2017 in our department,and patients were randomly divided into 2 groups:observation group,including 36 cases given automatic closing protective ileostomy,and control group,including 23 cases undergoing conventional loop ileostomy.The incidence of anastomotic leakage,intestinal recanalization time,hospitalization time,complications,ostomy,secondary surgery,expenses and other indicators were compared between two groups.Results No anastomotic fistula occurred in two groups.The average duration of protection for the distal anastomotic stoma in the observation group was 27.3 days.The stomas of 100% of the patients in the observation group could be closed on their own.There were no reoperation cases in the observation group,and the time of intestinal recanalization,the time of hospitalization,the incidence of total complications and the expenses were significantly decreased in the observation group as compared with those in the control group(P0.05 for all).Conclusions The automatic closing protective ileostomy and loop ileostomy have positive protective effects on high risk colorectal anastomosis.The automatic closing protective ileostomy has the advantages of simple operation,less complications,shorter hospital stay,and less hospitalization expenses,and the two-stage stoma recovery operation can be avoided.
【CateGory Index】: R735
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