Publication: Postoperative Ileus after Stimulation with Probiotics before Ileostomy Closure.
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Identifiers
Date
2021-02-15
Authors
Rodríguez-Padilla, Ángela
Morales-Martín, Germán
Pérez-Quintero, Rocío
Gómez-Salgado, Juan
Balongo-García, Rafael
Ruiz-Frutos, Carlos
Advisors
Journal Title
Journal ISSN
Volume Title
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Abstract
Loop ileostomy closure after colorectal surgery is often associated with Postoperative ileus, with an incidence between 13-20%. The aim of this study is to evaluate the efficacy and safety of preoperative stimulation of the efferent loop with probiotics prior to ileostomy closure in patients operated on for colorectal carcinoma. For this, a prospective, randomized, double-blind, controlled study is designed. All patients who underwent surgery for colorectal carcinoma with loop ileostomy were included. Randomized and divided into two groups, 34 cases and 35 controls were included in the study. Postoperative ileus, the need for nasogastric tube insertion, the time required to begin tolerating a diet, restoration of bowel function, and duration of hospital stay were evaluated. The incidence of Postoperative ileus was similar in both groups, 9/34 patients stimulated with probiotics and 10/35 in the control group (CG) with a p = 0.192. The comparative analysis showed a direct relationship between Postoperative ileus after oncological surgery and Postoperative ileus after reconstruction surgery, independently of stimulation. Postoperative ileus after closure ileostomy is independent of stimulation of the ileostomy with probiotics through the efferent loop. There seem to be a relationship between Postoperative ileus after reconstruction and the previous existence of Postoperative ileus after colorectal cancer surgery.
Description
MeSH Terms
Aged
Aged, 80 and over
Carcinoma
Colorectal Neoplasms
Double-Blind Method
Female
Humans
Ileostomy
Ileus
Incidence
Intestinal Diseases
Length of Stay
Male
Middle Aged
Postoperative Complications
Preoperative Care
Probiotics
Prospective Studies
Treatment Outcome
Aged, 80 and over
Carcinoma
Colorectal Neoplasms
Double-Blind Method
Female
Humans
Ileostomy
Ileus
Incidence
Intestinal Diseases
Length of Stay
Male
Middle Aged
Postoperative Complications
Preoperative Care
Probiotics
Prospective Studies
Treatment Outcome
DeCS Terms
CIE Terms
Keywords
efferent loop stimulation, ileostomy closure, postoperative ileus, probiotics, protective ileostomy