Ileostomy in ulcerative colitis. Results in 149 patients

Area of Science:

• Gastroenterology
• Surgical Oncology
• Colorectal Surgery

Background:

• Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
• Proctocolectomy with ileostomy is a surgical option for severe UC.
• Managing ileostomy complications is vital for patient quality of life.

Purpose of the Study:

• To evaluate the outcomes of proctocolectomy and ileostomy in ulcerative colitis patients.
• To identify the incidence of operative mortality and long-term complications.
• To assess factors influencing ileostomy success and patient well-being.

Main Methods:

• Retrospective analysis of 144 patients undergoing proctocolectomy and ileostomy for UC.
• Data collection on operative mortality, complications (obstruction, revisions, stoma issues), and functional outcomes.
• Statistical analysis to identify factors associated with ileostomy problems.

Main Results:

• Operative mortality was 7.6%, with half the patients having fulminant colitis.
• Intestinal obstruction occurred in 8.6%; 13% required ileostomy revisions, more in females.
• Nearly half experienced stoma issues (leakage, skin irritation), often manageable with guidance; longer stoma length correlated with fewer problems in males.

Conclusions:

• Proctocolectomy with ileostomy is associated with significant operative mortality and potential complications.
• Effective ileostomy management, including expert advice, training, and supplies, is paramount for successful outcomes.
• The presence of a stoma therapist is highly valuable for optimizing patient care and minimizing ileostomy-related issues.