Defunctioning ileostomy closure following low anterior resection by chemotherapy

作者：Vrakas G; Pramateftakis M G^*; Kanellos D; Sapidis S; Hatzigianni P; Tsachalis Th; Kanellos I; Lazaridis Ch

来源：Techniques in Coloproctology, 2010, 14: S77-S78.

DOI：10.1007/s10151-010-0628-6

• Rectal cancer
• Low anterior resection
• Loop ileostomy

Aim The aim of this study is to review the time between formation and closure of loop ileostomies following total mesorectal excision in patients with rectal cancer
Patients and methods A retrospective study of 170 patients who underwent low anterior resection for rectal cancer, between 1990 and 2009 Loop ileostomies were created in 8 patients
Results Of the 8 patients with defunctioning loop ileostomies, 4 received adjuvant chemo-radiotherapy, 3 received neo-adjuvant chemo-radiotherapy and I did not receive anything There was 12 5% morbidity The time from formation to closure for the patient with no adjuvant therapy was 3 months and for those with adjuvant therapy was 7 months This was a significant delay
Conclusion Time between formation and closure of loop ileostomy following anterior resection of rectum is significantly delayed by adjuvant chemotherapy

• 出版日期2010-11