Item type:Thesis, Open Access

Nutzen eines Reiters bei einer Anlage eines doppelläufigen Ileostomas - Eine retrospektive Datenanalyse über 14 Jahre

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Date

2016-03-31

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Philipps-Universität Marburg
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Abstract

Traditionally, a rod is used for loop ileostomies to reduce stoma associated complications. The aim of this study was to investigate whether the use of rods in loop ileostomy leads to a relevant reduction of stoma complications or even prevent it. Material and method: Stoma associated complications were investigated in 287 patients. In these patients a loop ileostomy was generated with (2000-2007, n=129) or without a rod (2008-2014, n=158) from 2000 to 2014. All statistical analysis was performed by using X; P-Values < 0.05 were considered statistically significant. Results: Stoma dehiscence occurred significantly more often in the group with rods than in the group without rods (30,2% vs.17,7%; p=0,017). In addition, stoma prolapses could also be observed more frequently in the group with rods. However, a stoma retraction was noticed rarely in both groups (2,3% vs. 3,8%; p=0,52). Furthermore, in both groups there was no detectable significant difference in the incidence of abscess and parastomal hernia (3,1% vs. 2,5% p=1,0 und 1,55% vs. 0,63%; p=0,59). The incidence of peristomal skin complications was about 31% in both groups and included complications such as skin redness (n64, 22.29%), skin maceration (n = 6, 2.0%), pustules (n = 4, 1.39%), allergy (n = 1, 0, 34%), infection of the injection sites (n = 16, 5.57%) and pressure ulcers (n = 2, 0.69%). Regarding peristomal complications, statistically no significant difference was detected in both groups, but the complications were more likely in the group with rods (36,43% vs. 26,58%; p=0,095). Conclusion: Generating a loop ileostomy should be performed without a rod, since data indicates that the use of rods leads to more postoperative complications. A prospective cohort study is needed to confirm the recommendation.

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Dates
Created: 2016Issued: 2016-03-31
DOI
https://doi.org/10.17192/z2016.0202
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
Keywords
IleostomyKomplikationendoppelläufiges IleostomaDrainsPlastic RodsIleostomaLoop-Ileostomy ComplicationsLoop-IleostomaDrainageReiter
DFG-subjects
doppelläufiges IleostomaIleostomaKomplikationenDrainageLoop-IleostomaReiter
DDC-Numbers
610
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
URI
https://open.uni-marburg.de/handle/10.17192/z2016.0202
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Wolf, Andrej: Nutzen eines Reiters bei einer Anlage eines doppelläufigen Ileostomas - Eine retrospektive Datenanalyse über 14 Jahre. : Philipps-Universität Marburg 2016-03-31. DOI: https://doi.org/10.17192/z2016.0202.

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Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 - CC BY NC ND
Except where otherwised noted, this item's license is described as Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 - CC BY NC ND