Factors affecting temporary stoma outcomes at a major Saudi University Hospital

Authors

  • Mohammed O. Nassif Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Nora H. Trabulsi Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Ali H. Farsi Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Ali A. Samkari Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Sonds S. Al-shammakh Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Ibtihal O. Alghamdi Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Esraa A. Alshehrani Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia.
  • Shayma M. Alotaibi Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia.
  • Razan A. Habeeb Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia.
  • Nouf Y. Akeel Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia.
  • Nadim H. Malibary Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia.
  • Abdulaziz M. Saleem Department of Surgery, King Abdul-Aziz University Hospital, King Abdul-Aziz University, Jeddah, Saudi Arabia.
  • Mai S. Kadi Department of Community medicine, Faculty of Medicine, King Abdul-Aziz University, Jeddah, Saudi Arabia
  • Al-Mamoon Badahdah Department of Family and Community Medicine, Faculty of Medicine in Rabigh, King Abdul-Aziz University, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20204658

Keywords:

Surgical stoma, Ostomy, Postoperative complication, Time factors/adverse effects

Abstract

Background: Temporary stoma formation for fecal diversion is commonly performed in surgery. The rate of stoma-related complications is high, and the risk increases in patients with prolonged time to closure. Thus, identifying factors that influence the time to stoma closure and the rate of its complications would aid in implementing preventive measures. We aimed to determine predictors affecting the time to stoma closure and to identify risk factors for developing complications following stoma reversal.

Methods: A retrospective review including all adult patients who underwent stoma closure from 2012-2018 at our institution was conducted. Multivariate regression analysis was used to determine risk factors affecting time to stoma closure and developing complications after reversal surgery.

Results: A total of 63 patients were included. Of those, 50.8% were diagnosed with malignancy. The median time to stoma closure was 222.5 days (interquartile range i.e. IQR 12-2228).

Having an American society of anesthesiologists (ASA) class IV was the only significant predictor of prolonged time to closure. For cancer patients, developing complications following stoma formation surgery, and receiving adjuvant therapy significantly increased the time to stoma reversal. In contrast, cancer patients who underwent multi-organ resection had shorter time to closure. The rate of complications following stoma reversal was 30.2%. Having a colostomy and requiring readmission after stoma formation surgery increased the risk of developing complications related to stoma reversal.

Conclusions: Multiple factors can impact the time to stoma closure and increase the risk of developing complication related to stoma closure. Awareness about these factors and development of preventive strategies is recommended.

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Published

2020-10-23

Issue

Vol. 7 No. 11 (2020): November 2020

Section

Original Research Articles