THE OUTCOMES OF EARLY VERSUS LATE ILEOSTOMY CLOSURE

Abstract

The best time to reverse an ileostomy is still largely unclear, however, there is growing evidence that delaying ileostomy closure may raise the risk of complications after the operation. The study's goal was to compare the outcomes of early ileostomy closure with late ileostomy closure after surgery. A prospective study was done to evaluate the results of patients who went through early ileostomy closure ( within 6 weeks) to those who had late ileostomy closure (>6 weeks). All patients above 18 years old who had stoma subsequent surgery of bowel both in emergency and elective settings. In this prospective observational study, 60 patients were randomly assigned into two groups by the SNOSE method for closure of ileostomy at different intervals of time: early ileostomy closure (<6 weeks), n=30, and late ileostomy closure (>6 weeks), n=30. During three months, all patients were monitored for surgical complications. Early closure was performed on 30 of the 60 trial participants, with the mean time for closure in the early group being 4 weeks and 7.2 weeks in the late group. The postoperative problems and hospital stay did not vary considerably. In conclusion, based on our experience in both ileostomy closure groups at varied time intervals, the early group within 6 weeks did not increase post-operative problems and morbidity. The systematic assignment of patients with temporary loop stomas to early closure may improve patient well-being. Individualization of the usual approach of reserving patients for long-term stoma care is required, and further study is needed to compare disease-specific closure success.