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Updated: Jul 9, 2026
08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
Morbidity of ostomy takedown.
Andreas M Kaiser1, Shlomo Israelit, Daniel Klaristenfeld
1Department of Colorectal Surgery, Keck School of Medicine, University of Southern California, 1441 Eastlake Avenue, Suite 7418, Los Angeles, CA 90033, USA. akaiser@usc.edu
Summary
Temporary ostomy takedown has low mortality but significant morbidity. Small bowel ostomy reversal leads to more complications than large bowel ostomy reversal, impacting patient outcomes.
Area of Science:
- Surgical outcomes
- Gastrointestinal surgery
- Patient safety
Background:
- Temporary ostomies are crucial for managing distal gastrointestinal issues.
- Minimizing complications during ostomy takedown is essential for patient recovery.
Purpose of the Study:
- To evaluate the complications and mortality associated with temporary ostomy closure.
- To analyze the impact of ostomy type and location on takedown outcomes.
Main Methods:
- Retrospective review of 156 patients undergoing elective ostomy takedown (1999-2005).
- Data collected included demographics, stoma type/location, operative technique, and complications.
- Perioperative morbidity defined as complications within 30 days.
Main Results:
- Overall mortality was low (0.65%).
- Morbidity rate was 36.5%, with most common being wound infection and ileus.
- Serious complications like anastomotic leak and enterocutaneous fistula occurred in 3.8%.
Conclusions:
- Temporary ostomy takedown has low mortality but considerable morbidity.
- Stoma location (small vs. large bowel) significantly influences complication rates and severity more than stoma type.
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