Factors predictive of high-output ileostomy: a retrospective single-center comparative study

Mitsunobu Takeda, Hidekazu Takahashi, Naotsugu Haraguchi, Norikatsu Miyoshi, Taishi Hata, Hirofumi Yamamoto, Chu Matsuda, Tsunekazu Mizushima, Yuichiro Doki, Masaki Mori

研究成果: ジャーナルへの寄稿記事

3 引用 (Scopus)

抄録

Purpose: High-output syndrome (HOS) is a complication of ileostomy, which can affect quality of life significantly; however, its exact cause remains unknown. The aim of this study was to establish the frequency, as well as the preoperative and intraoperative factors predictive of HOS. Methods: The subjects of this study were 164 consecutive patients who underwent colorectal cancer surgery with ileostomy construction at our institute between January, 2011 and August, 2018. Thirteen patients with postoperative complications reported as causes of HOS, including intraperitoneal abscess, paralytic ileus, and outlet obstruction, were excluded. We used a logistic regression analysis to identify the factors predictive of HOS. Results: HOS developed in 36 of the 151 patients (23.8%). There were significantly more diabetic patients in the HOS group (P = 0.03), but other patient factors such as age, gender, body mass index, and use of daily laxatives were not significantly different between the groups. The HOS group had significantly more cases of total proctocolectomy (P = 0.04), but other surgical factors such as operative time, and blood transfusion were not significantly different between the two groups. Conclusions: These results indicate that diabetes and total proctocolectomy are preoperative predictors of HOS, allowing for the possibility of early intervention via post-surgical treatment.

元の言語英語
ページ(範囲)482-487
ページ数6
ジャーナルSurgery today
49
発行部数6
DOI
出版物ステータス出版済み - 6 1 2019
外部発表Yes

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Ileostomy
Intestinal Pseudo-Obstruction
Laxatives
Colorectal Surgery
Operative Time
Blood Transfusion
Abscess
Colorectal Neoplasms
Body Mass Index
Logistic Models
Regression Analysis
Quality of Life

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Factors predictive of high-output ileostomy : a retrospective single-center comparative study. / Takeda, Mitsunobu; Takahashi, Hidekazu; Haraguchi, Naotsugu; Miyoshi, Norikatsu; Hata, Taishi; Yamamoto, Hirofumi; Matsuda, Chu; Mizushima, Tsunekazu; Doki, Yuichiro; Mori, Masaki.

:: Surgery today, 巻 49, 番号 6, 01.06.2019, p. 482-487.

研究成果: ジャーナルへの寄稿記事

Takeda, M, Takahashi, H, Haraguchi, N, Miyoshi, N, Hata, T, Yamamoto, H, Matsuda, C, Mizushima, T, Doki, Y & Mori, M 2019, 'Factors predictive of high-output ileostomy: a retrospective single-center comparative study', Surgery today, 巻. 49, 番号 6, pp. 482-487. https://doi.org/10.1007/s00595-018-1756-2
Takeda M, Takahashi H, Haraguchi N, Miyoshi N, Hata T, Yamamoto H その他. Factors predictive of high-output ileostomy: a retrospective single-center comparative study. Surgery today. 2019 6 1;49(6):482-487. https://doi.org/10.1007/s00595-018-1756-2
Takeda, Mitsunobu ; Takahashi, Hidekazu ; Haraguchi, Naotsugu ; Miyoshi, Norikatsu ; Hata, Taishi ; Yamamoto, Hirofumi ; Matsuda, Chu ; Mizushima, Tsunekazu ; Doki, Yuichiro ; Mori, Masaki. / Factors predictive of high-output ileostomy : a retrospective single-center comparative study. :: Surgery today. 2019 ; 巻 49, 番号 6. pp. 482-487.
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abstract = "Purpose: High-output syndrome (HOS) is a complication of ileostomy, which can affect quality of life significantly; however, its exact cause remains unknown. The aim of this study was to establish the frequency, as well as the preoperative and intraoperative factors predictive of HOS. Methods: The subjects of this study were 164 consecutive patients who underwent colorectal cancer surgery with ileostomy construction at our institute between January, 2011 and August, 2018. Thirteen patients with postoperative complications reported as causes of HOS, including intraperitoneal abscess, paralytic ileus, and outlet obstruction, were excluded. We used a logistic regression analysis to identify the factors predictive of HOS. Results: HOS developed in 36 of the 151 patients (23.8{\%}). There were significantly more diabetic patients in the HOS group (P = 0.03), but other patient factors such as age, gender, body mass index, and use of daily laxatives were not significantly different between the groups. The HOS group had significantly more cases of total proctocolectomy (P = 0.04), but other surgical factors such as operative time, and blood transfusion were not significantly different between the two groups. Conclusions: These results indicate that diabetes and total proctocolectomy are preoperative predictors of HOS, allowing for the possibility of early intervention via post-surgical treatment.",
author = "Mitsunobu Takeda and Hidekazu Takahashi and Naotsugu Haraguchi and Norikatsu Miyoshi and Taishi Hata and Hirofumi Yamamoto and Chu Matsuda and Tsunekazu Mizushima and Yuichiro Doki and Masaki Mori",
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T1 - Factors predictive of high-output ileostomy

T2 - a retrospective single-center comparative study

AU - Takeda, Mitsunobu

AU - Takahashi, Hidekazu

AU - Haraguchi, Naotsugu

AU - Miyoshi, Norikatsu

AU - Hata, Taishi

AU - Yamamoto, Hirofumi

AU - Matsuda, Chu

AU - Mizushima, Tsunekazu

AU - Doki, Yuichiro

AU - Mori, Masaki

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Purpose: High-output syndrome (HOS) is a complication of ileostomy, which can affect quality of life significantly; however, its exact cause remains unknown. The aim of this study was to establish the frequency, as well as the preoperative and intraoperative factors predictive of HOS. Methods: The subjects of this study were 164 consecutive patients who underwent colorectal cancer surgery with ileostomy construction at our institute between January, 2011 and August, 2018. Thirteen patients with postoperative complications reported as causes of HOS, including intraperitoneal abscess, paralytic ileus, and outlet obstruction, were excluded. We used a logistic regression analysis to identify the factors predictive of HOS. Results: HOS developed in 36 of the 151 patients (23.8%). There were significantly more diabetic patients in the HOS group (P = 0.03), but other patient factors such as age, gender, body mass index, and use of daily laxatives were not significantly different between the groups. The HOS group had significantly more cases of total proctocolectomy (P = 0.04), but other surgical factors such as operative time, and blood transfusion were not significantly different between the two groups. Conclusions: These results indicate that diabetes and total proctocolectomy are preoperative predictors of HOS, allowing for the possibility of early intervention via post-surgical treatment.

AB - Purpose: High-output syndrome (HOS) is a complication of ileostomy, which can affect quality of life significantly; however, its exact cause remains unknown. The aim of this study was to establish the frequency, as well as the preoperative and intraoperative factors predictive of HOS. Methods: The subjects of this study were 164 consecutive patients who underwent colorectal cancer surgery with ileostomy construction at our institute between January, 2011 and August, 2018. Thirteen patients with postoperative complications reported as causes of HOS, including intraperitoneal abscess, paralytic ileus, and outlet obstruction, were excluded. We used a logistic regression analysis to identify the factors predictive of HOS. Results: HOS developed in 36 of the 151 patients (23.8%). There were significantly more diabetic patients in the HOS group (P = 0.03), but other patient factors such as age, gender, body mass index, and use of daily laxatives were not significantly different between the groups. The HOS group had significantly more cases of total proctocolectomy (P = 0.04), but other surgical factors such as operative time, and blood transfusion were not significantly different between the two groups. Conclusions: These results indicate that diabetes and total proctocolectomy are preoperative predictors of HOS, allowing for the possibility of early intervention via post-surgical treatment.

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