RT Journal Article
T1 Postoperative Ileus after Stimulation with Probiotics before Ileostomy Closure.
A1 Rodríguez-Padilla, Ángela
A1 Morales-Martín, Germán
A1 Pérez-Quintero, Rocío
A1 Gómez-Salgado, Juan
A1 Balongo-García, Rafael
A1 Ruiz-Frutos, Carlos
K1 efferent loop stimulation
K1 ileostomy closure
K1 postoperative ileus
K1 probiotics
K1 protective ileostomy
AB 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.
YR 2021
FD 2021-02-15
LK http://hdl.handle.net/10668/17302
UL http://hdl.handle.net/10668/17302
LA en
DS RISalud
RD Apr 19, 2025