Abstract
To compare the clinical results of patients with low rectal cancer who underwent skin bridge loop ileostomy and traditional loop ileostomy, and provide clinical evidence for choosing a better ostomy method. We retrospectively collected data of 118 patients with rectal cancer who underwent low anterior resection and loop ileostomy. To investigate the patients characteristics, postoperative stoma-related complications and the frequency of exchanged ostomy bags. The differences of these indicators between the two groups of patients who underwent skin bridge loop ileostomy and traditional loop ileostomy were compared. The Visual Analog Scale (VAS) score of the skin bridge loop ileostomy group was lower than that of the traditional ileostomy loop group (P < 0.05). The skin bridge group had a lower Discoloration, Erosion, Tissue overgrowth (DET) score and incidence of mucocutaneous separation than the traditional group at the 1st and 2nd weeks after operation (P < 0.05). The average number of weekly exchanged ostomy bags was significantly less in the skin bridge group than in the traditional group within 4 weeks after surgery (P < 0.05). Our experience demonstrates that the skin bridge loop ileostomy may significantly reduce early postoperative stoma-related complications, the frequency of exchanged ostomy bags and patients’ medical costs after discharge.
Highlights
To compare the clinical results of patients with low rectal cancer who underwent skin bridge loop ileostomy and traditional loop ileostomy, and provide clinical evidence for choosing a better ostomy method
The skin bridge loop ileostomy group had a lower DET score [(0.86 ± 1.07) vs. (3.21 ± 2.27), P < 0.05; (1.79 ± 1.49) vs. (6.40 ± 3.52), P < 0.05] and incidence of mucocutaneous separation [4.76% (2/42) vs. 18.87% (10/53), P < 0.05; 11.90% (5/42) vs. 60.38% (32/53), P < 0.05] than the traditional group at the 1st and 2nd weeks after operation, and there were no differences at the 4th week after operation and before stoma closure (P > 0.05)
The average number of weekly exchanged ostomy bags was significantly less in the skin bridge loop ileostomy group than in the traditional loop ileostomy group within 4 weeks after surgery [(1.38 ± 0.49) vs. (2.36 ± 0.92), P < 0.05]
Summary
To compare the clinical results of patients with low rectal cancer who underwent skin bridge loop ileostomy and traditional loop ileostomy, and provide clinical evidence for choosing a better ostomy method. To investigate the patients characteristics, postoperative stoma-related complications and the frequency of exchanged ostomy bags. The differences of these indicators between the two groups of patients who underwent skin bridge loop ileostomy and traditional loop ileostomy were compared. Our experience demonstrates that the skin bridge loop ileostomy may significantly reduce early postoperative stomarelated complications, the frequency of exchanged ostomy bags and patients’ medical costs after discharge. Stoma is considered to be an effective method in order to prevent this c omplication[5,6] It may cause stoma-related complications, such as peristomal dermatitis and retraction, some of which are common in clinic and significantly affect postoperative quality of life of the patients[7,8]. Critical Care Medicine, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, Jingzhou 434020, Hubei Province, China. 3These authors contributed : Hui Ye, and Shujuan Huang. *email: Scientific Reports | (2021) 11:9101
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