İleostomi Kapamanın Zamanlaması İleostomi Varlığında ve Kapanması Sonrasında Komplikasyonların Gelişimini Etkiler Mi? Tek Bir Kolorektal Merkeze Ait Retrospektif Bir Çalışma

Amaç: Rektum kanseri için uygulanan sfinkter koruyucu cerrahiye genellikle geçici bir saptırıcı ileostomi de eşlik etmektedir. Bununla birlikte ileostomi kapama operasyonunun zamanlaması kapama için farklı sürelerin önerildiği tartışmalı bir konudur. Bu yazıda ileostomi süresince ve kapatıldıktan sonra karşılaşılan komplikasyonların kapama zamanlaması ile arasındaki ilişkiyi değerlendirmeyi amaçladık. Gereç ve Yöntem: Ocak 2016-Ağustos 2020 tarihleri arasında rektum adenokarsinomu nedeniyle sfinkter koruyucu cerrahi ve ileostomi uygulanan ve ileostomisi daha sonra kapatılan hastalar geriye dönük olarak incelendi. Rektovajinal fistül, restoratif proktokolektomi ve acil girişim gerektiren sol kolon tümörleri nedeniyle ileostomi açılan hastalar ve herhangi bir nedenle ileostomi kapatılmamış hastalar çalışmaya dahil edilmedi. Hastaların demografik özellikleri ve klinik değişkenler kaydedildi. İleostomi kapanma süresine göre hastalar

Does the Timing of Ileostomy Closure Does not Impact the Development of Complications During Ileostomy and After Its Reversal? A Retrospective Study in A Single Colorectal Center

Objectives: A temporary diverting loop ileostomy is often performed with sphincter-preserving surgery for rectal cancer. However, optimal timing Objectives: A temporary diverting loop ileostomy is often performed with sphincter-preserving surgery for rectal cancer. However, optimal timing for the reversal of ileostomy is a challenging issue concerning the different cut-off periods. We aimed to evaluate the association between timing of closure and development of complications during ileostomy and after its closure. Materials and Methods: Between January 2016 and August 2020, patients who underwent ileostomy and ileostomy closure associated with the sphincter-preserving surgery for rectum adenocarcinoma were retrospectively analyzed. Ileostomy creation for rectovaginal fistula, restorative proctocolectomy, and emergent surgery for left-sided colonic tumors, and patients without ileostomy closure for any cause were excluded. Patient demographics and clinical variables were recorded. According to ileostomy closure time, the patients were divided into two groups as

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