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Outpatient Stoma Closure in 130 Patients: Insights From the GRECCAR Multicentric Study
Boris Cleret de Langavant1,2, Antoine Camerlo3, Quentin Denost4
1Sorbonne Université, Department of Digestive Surgery, AP-HP, Hôpital Saint Antoine, Paris, France.
Outpatient stoma closure is feasible and effective, reducing hospital stays. This approach shows low complication and readmission rates when proper protocols are followed for stoma reversal.
Area of Science:
- Surgical Procedures
- Gastrointestinal Surgery
- Outpatient Care
Background:
- Stoma closure is a common surgical procedure.
- Traditionally associated with prolonged hospital stays.
- Potential for outpatient management exists.
Purpose of the Study:
- To evaluate the feasibility and outcomes of outpatient stoma closure.
- To determine complication and readmission rates in an ambulatory setting.
Main Methods:
- Retrospective observational study of prospectively collected data.
- Inclusion criteria: caregiver present, no associated procedures.
- Follow-up: phone consultations, emergency line, outpatient appointments.
Main Results:
- 130 patients underwent outpatient stoma closure (90% same-day discharge).
- Median hospital stay was 10 hours; 16% readmission rate (ileus, abscess).
- Direct wound closure and steroid therapy were risk factors for complications.
Conclusions:
- Outpatient stoma closure is safe and effective.
- Low complication and readmission rates are achievable with established protocols.
- This approach can reduce healthcare costs and improve patient flow.
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