Komplikacije protektivne ileostome nakon kreiranih niskih kolorektalnih anastomoza

Abstract

Introduction. The protective ileostomy is a procedure that is now increasingly used after the creation of low colorectal anastomosis, and after resection of rectal cancer. The protective ileostomy is a procedure that, to a lesser extent, affects the prevention of anastomotic colorectal dehiscence, but it has a much greater significance in reducing the severity of complications occurring after colorectal anastomosis dehiscence. However, the creation itself, as well as the closure of loop ileostomy are accompanied with certain complications. Aim of the study. The aim of this study was to determine the frequency and severity of complications of ileostomy and justification for its creation, within the test sample of 42 patients. Patients and Methods. The study was designed as a retrospective-prospective study. 42 patients. with created protective ileostomy that occurred after low colorectal anastomosis, were included in the study. The average age was 64.38 years with a standard deviation of 9.63 years. The youngest patient was 36 years old and the oldest patient was 77 years old. The representation of patients by gender was 29 (69%) male patients and 13 (31%) female patients. During the study, functions and complications associated with the created loop ileostomy, as well as the need for surgical treatment and the period until the sinking of ileostomy were monitored in patients. Results. Out of the total number of observed patient complications of ileostomy occurred in 8 of them (19%), and in 34 (81%) patients there were no complications. Out of the total number of complications, only in cases of 2 (4.8%) patients, there was the need for surgical treatment. In 1(2.4%) patient, ileostomy remained permanently. Conclusion. This study showed that the loop ileostomy after the creation of low colorectal anastomosis is accompanied with fewer complications. The resulting complications are successfully disposed by conservative treatment, and only rarely require surgical re-intervention.