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Ileostomates in Israel

A Halevy, Y Adam, J Eshchar

    Diseases of the Colon and Rectum
    |September 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This study surveyed 47 Israeli ostomates, finding low referral rates for inflammatory bowel disease surgery, high rates of skin issues, and poor rehabilitation. However, outcomes have improved since the survey.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery
    • Ostomy Care

    Background:

    • Inflammatory Bowel Disease (IBD) management often involves surgical intervention, including proctocolectomy and ileostomy.
    • Ostomy creation can lead to significant complications, impacting patient quality of life.
    • Rehabilitation and social reintegration are critical aspects of post-ileostomy care.

    Purpose of the Study:

    • To assess the outcomes of ileostomates in Israel, focusing on referral rates, complications, and rehabilitation.
    • To identify factors potentially influencing the success of ileostomy procedures and patient adjustment.

    Main Methods:

    • A survey was conducted among 47 individuals with ileostomies, identified through the Israel Ostomy Association.
    • Data collected included referral rates for IBD surgery, incidence of cutaneous complications, and measures of rehabilitation (occupation, sexual activity, social adjustment).

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    Main Results:

    • A low referral rate (5%) of inflammatory bowel disease patients for proctocolectomy and ileostomy was observed.
    • A high incidence (64-85%) of cutaneous problems was reported among the surveyed ostomates.
    • Rehabilitation rates, encompassing return to previous occupation, sexual life, and social adjustment, were low.

    Conclusions:

    • The study highlights challenges in ostomy care in Israel, including low IBD surgical referrals, frequent skin complications, and suboptimal rehabilitation.
    • Factors such as surgery across multiple institutions and living in a subtropical climate may have negatively impacted outcomes.
    • The situation regarding ostomy care and patient outcomes has reportedly improved since the study was conducted.