Protective defunctioning stoma in low anterior resection for rectal carcinoma

2005 ◽  
Vol 92 (9) ◽  
pp. 1137-1142 ◽  
Author(s):  
I. Gastinger ◽  
F. Marusch ◽  
R. Steinert ◽  
S. Wolff ◽  
F. Koeckerling ◽  
...  
Keyword(s):  
Rectal Carcinoma ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Defunctioning Stoma

scholarly journals The association of age with decline in renal function after low anterior resection and loop ileostomy for rectal cancer: a retrospective cohort prognostic factor study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amal Rhemouga ◽  
Stefan Buettner ◽  
Wolf O. Bechstein ◽  
Guido Woeste ◽  
Teresa Schreckenbach
Keyword(s):  
Rectal Cancer ◽  
Rectal Carcinoma ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Older Patients ◽  
Retrospective Cohort ◽  
Loop Ileostomy ◽  
Linear Regression Analysis ◽  
Multivariate Linear Regression Analysis ◽  
Group B

Abstract Background Low anterior resection (LAR) is often performed with diverting loop ileostomy (DLI) for anastomotic protection in patients with rectal cancer. We aim to analyze, if older patients are more prone to a decline in kidney function following creation and closure of DLI after LAR for rectal carcinoma versus younger patients. Methods A retrospective cohort study from a database including 151 patients undergoing LAR for rectal carcinoma with DLI was used. Patients were divided in two age groups (Group A: <65 years, n = 79; Group B: ≥65 years, n = 72). For 123 patients undergoing DLI reversal prognostic factors for an impairment of serum creatinine (SCr) and estimated glomerular filtration rate (eGFR) 3 months after DLI reversal was analyzed using a multivariate linear regression analysis. Results SCr before LAR(T0) was significant higher in Group B (P = 0.04). Accordingly, the eGFR at T0 in group B was significantly lower (P < 0.001). No patients need to undergo hemodialysis after LAR or DLI reversal. Age and SCr at T0were able to statistically significant predict an increase in SCr (P<0.001) and eGFR (P=0.001) three months after DLI reversal (The R² for the overall model was .82 (adjusted R² = .68). Conclusion DLI creation may result in a reduction of eGFR in older patients 3 months after DLI closure. Apart from this, patients do not have a higher morbidity after creation and closure of DLI resulting from LAR regardless of their age.

scholarly journals Meta-analysis of selective defunctioning stoma in low anterior resection

2009 ◽  
Vol 28 (7) ◽  
pp. 756-761 ◽  
Author(s):  
Pei-Rong Ding ◽  
Xin An ◽  
Zhi-Zhong Pan ◽  
De-Sen Wan ◽  
Yu-Jing Fang ◽  
...  
Keyword(s):  
Anterior Resection ◽  
Low Anterior Resection ◽  
Meta Analysis ◽  
Defunctioning Stoma

Defunctioning Stoma Reduces Symptomatic Anastomotic Leakage After Low Anterior Resection of the Rectum for Cancer: A Randomized Multicenter Trial

2008 ◽  
Vol 247 (4) ◽  
pp. 718-719 ◽  
Author(s):  
Alexander A.F.A. Veenhof ◽  
Donald L. van der Peet ◽  
Wilhelmus J.H.J. Meijerink ◽  
Miguel A. Cuesta
Keyword(s):  
Anastomotic Leakage ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Multicenter Trial ◽  
Defunctioning Stoma

scholarly journals Heterotopic Ossification in Rectal Carcinoma: Report of a Case and Review of the Literature

2016 ◽  
Vol 9 (3) ◽  
pp. 698-704 ◽  
Author(s):  
Jiro Shimazaki ◽  
Akira Takemura ◽  
Kiyotaka Nishida ◽  
Hideki Kajiyama ◽  
Mitsugi Shimoda ◽  
...  
Keyword(s):  
Heterotopic Ossification ◽  
Histological Examination ◽  
Rectal Carcinoma ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Virtual Colonoscopy ◽  
Rectal Wall ◽  
Medical Center ◽  
Uneventful Recovery ◽  
Spindle Cells

Heterotopic ossification in colorectal carcinoma is extremely rare. This report presents the case of a 57-year-old male who had undergone a low anterior resection following a diagnosis of rectal carcinoma. Histological examination showed heterotopic ossification in the tumor. The patient was referred to Ibaraki Medical Center, Tokyo Medical University, with a diagnosis of rectal carcinoma by a local physician. Abdominal computed tomography revealed thickening of the rectal wall with calcified deposits, and virtual colonoscopy showed stenosis with a mass in the rectum. The patient underwent a low anterior resection and diverting ileostomy in May 2014. Histological examination of the excised tumor showed moderately differentiated adenocarcinoma and an infiltration of spindle cells with numerous foci of osteoid and ossification, with osteoblastic rimming in the stroma. Immunohistochemical analysis of these spindle cells and osteoblasts revealed negative staining for AE1/AE3, suggesting a reactive change. There was metastasis in 1 of the 12 lymph nodes, and the tumor was diagnosed as stage IIIB (T4a, N1a, M0) rectal carcinoma. The patient had an uneventful recovery and was followed up at our outpatient clinic. In conclusion, the malignant potential of heterotopic ossification in rectal carcinoma has not been determined. However, heterotopic ossification is induced by tumor progression in a microenvironment, suggesting a high tumor malignity. The patient should be carefully monitored after surgery in terms of improved patient outcome.

Comparison of transanal stent with defunctioning stoma in low anterior resection for rectal cancer

2003 ◽  
Vol 90 (5) ◽  
pp. 581-582 ◽  
Author(s):  
A. I. Amin ◽  
T. Ramalingam ◽  
R. Sexton ◽  
R. J. Heald ◽  
A. Leppington-Clarke ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Defunctioning Stoma
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