A nomogram to predict risk factors of frequent defecation early after ileostomy reversal for rectal cancer patients

被引:2
作者
Deng, Jiaxin [1 ,2 ]
Su, Mingli [1 ,2 ]
Hu, Jiancong
Lin, Dezheng
Li, Juan
Liu, Wei
Zhang, Jiawei
Zhong, Qinghua [1 ,2 ]
Guo, Xuefeng [1 ,2 ]
机构
[1] Sun Yat Sen Univ, Affiliated Hosp 6, Dept Endoscop Surg, 26 Yuancun Erheng Rd, Guangzhou 510655, Peoples R China
[2] Sun Yat Sen Univ, Affiliated Hosp 6, Guangdong Prov Key Lab Colorectal & Pelv Floor Di, Guangzhou, Peoples R China
关键词
Rectal cancer; ileostomy reversal; defecation; proctitis; ULTRALOW ANTERIOR RESECTION; POSTOPERATIVE ILEUS; COLORECTAL-CANCER; STIMULATION; SURGERY; CLOSURE; RADIOTHERAPY; DIVERSION; THERAPY;
D O I
10.21037/atm-21-4660
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Defecation disorders after ileostomy reversal are among the most common complications for rectal cancer patients, and significantly diminish their quality of life. The aim of this study was to identify the risk factors associated with frequent defecation early after ileostomy reversal for rectal cancer patients. Methods: We retrospectively collected the data of rectal caner patients who underwent ileostomy reversal from January 2018 to December 2019 at the Sixth Affiliated Hospital of Sun Yat-sen University. We divided patients into two groups: a no frequent defecation group (<= 7 times/day) and a frequent defecation group (>7 times/day). Results: Of the 264 included patients, 59 patients (22.35%) had frequent defecation within 1 month after ileostomy closure and were defined as the frequent defecation group. There were no significant differences between the two groups in terms of gender, age, hypertension, and diabetes. Univariate and multivariate analyses showed that proctitis (P=0.04) and anastomotic stenosis (P=0.02) were independent risk factors for frequent defecation. Four factors, including proctitis, anastomotic stenosis, hypertension, and age were included to construct the nomogram. The consistency index of the nomogram was 0.949 and the area under the curve value was 0.623. Conclusions: For rectal cancer patients, proctitis and anastomotic stenosis were correlated with frequent defecation within 1 month after ileostomy closure. Surgeons should pay attention to the rectal examination before ileostomy reversal surgery.
引用
收藏
页数:10
相关论文
共 33 条
  • [11] Study protocol evaluating the use of bowel stimulation before loop ileostomy closure to reduce postoperative ileus: a multicenter randomized controlled trial
    Garfinkle, R.
    Trabulsi, N.
    Morin, N.
    Phang, T.
    Liberman, S.
    Feldman, L.
    Fried, G.
    Boutros, M.
    [J]. COLORECTAL DISEASE, 2017, 19 (11) : 1024 - 1029
  • [12] Incidence and predictors of postoperative ileus after loop ileostomy closure: a systematic review and meta-analysis
    Garfinkle, Richard
    Savage, Paul
    Boutros, Marylise
    Landry, Tara
    Reynier, Pauline
    Morin, Nancy
    Vasilevsky, Carol-Ann
    Filion, Kristian B.
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2019, 33 (08): : 2430 - 2443
  • [13] Bowel dysfunction after anastomotic leakage in laparoscopic sphincter-saving operative intervention for rectal cancer: A case-matched study in 46 patients using the Low Anterior Resection Score
    Hain, Elisabeth
    Manceau, Gilles
    Maggiori, Leon
    Mongin, Cecile
    la Denise, Justine Prost a
    Panis, Yves
    [J]. SURGERY, 2017, 161 (04) : 1028 - 1039
  • [14] Functional outcome following rectal surgery-predisposing factors for low anterior resection syndrome
    Hughes, Daniel Ll
    Cornish, Julie
    Morris, Chris
    [J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2017, 32 (05) : 691 - 697
  • [15] Pathophysiology, clinical presentation and management of diversion colitis: A review of current literature
    Kabir, S. I.
    Kabir, S. A.
    Richards, R.
    Ahmed, J.
    MacFie, J.
    [J]. INTERNATIONAL JOURNAL OF SURGERY, 2014, 12 (10) : 1088 - 1092
  • [16] Keane C, 2020, DIS COLON RECTUM, V63, P274, DOI [10.1097/DCR.0000000000001583, 10.1111/codi.14957]
  • [17] Anastomotic stricture after ultralow anterior resection or intersphincteric resection for very low-lying rectal cancer
    Lee, Soo Young
    Kim, Chang Hyun
    Kim, Young Jin
    Kim, Hyeong Rok
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2018, 32 (02): : 660 - 666
  • [18] Therapeutic Evaluation of Biofeedback Therapy in the Treatment of Anterior Resection Syndrome After Sphincter-Saving Surgery for Rectal Cancer
    Liang, Zhonglin
    Ding, Wenjun
    Chen, Wei
    Wang, Zhongchuan
    Du, Peng
    Cui, Long
    [J]. CLINICAL COLORECTAL CANCER, 2016, 15 (03) : E101 - E107
  • [19] Risk factors for colorectal anastomotic stenoses and their impact on quality of life: what are the lessons to learn?
    Polese, L.
    Vecchiato, M.
    Frigo, A. C.
    Sarzo, G.
    Cadrobbi, R.
    Rizzato, R.
    Bressan, A.
    Merigliano, S.
    [J]. COLORECTAL DISEASE, 2012, 14 (03) : e124 - e128
  • [20] Cancer incidence, mortality, and burden in China: a time-trend analysis and comparison with the United States and United Kingdom based on the global epidemiological data released in 2020
    Qiu, Haibo
    Cao, Sumei
    Xu, Ruihua
    [J]. CANCER COMMUNICATIONS, 2021, 41 (10) : 1037 - 1048