+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The influence of nutritional assessment on the outcome of ostomy takedown

The influence of nutritional assessment on the outcome of ostomy takedown

Journal of the Korean Society of Coloproctology 28(3): 145-151

Ostomy takedown is often considered a simple procedure without intention; however, it is associated with significant morbidity. This study is designed to evaluate factors predicting postoperative complications in the ostomy takedown in view of metabolism and nutrition. A retrospective, institutional review-board-approved study was performed to identify all patients undergoing takedown of an ostomy from 2004 to 2010. Of all patients (150), 48 patients (32%; male, 31; female, 17) had complications. Takedown of an end-type ostomy showed a high complication rate; complications occurred in 55.9% of end-type ostomies and 15.7% of loop ostomies (P < 0.001). Severe adhesion was also related to a high rate of overall complication (41.3%) (P = 0.024). In preoperative work-up, ostomy type was not significantly associated with malnutrition status. However, postoperatively severe malnutrition level (albumin <2.8 mg/dL) was statistically significant in increasing the risk of complications (72.7%, P = 0.015). In particular, a significant postoperative decrease in albumin (>1.3 mg/dL) was associated with postoperative complications, particularly surgical site infection (SSI). Marked weight loss such as body mass index downgrading may be associated with the development of complications. A temporary ostomy may not essentially result in severe malnutrition. However, a postoperative significant decrease in the albumin concentration is an independent risk factor for the development of SSI and complications.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 056382842

Download citation: RISBibTeXText

PMID: 22816058

Related references

Morbidity of ostomy takedown. Journal of Gastrointestinal Surgery 12(3): 437-441, 2007

Primary closure of stoma site wounds after ostomy takedown. American Journal of Surgery 199(5): 621-624, 2010

Risk factors and evolution of enterocutaneous fistula after terminal ostomy takedown. Cirugia Y Cirujanos 81(5): 394-399, 2015

Flowcharts to facilitate caring for ostomy patients. Part 4: Discharge outcome assessment. Nursing 14(12): 47-49, 1984

Contemporary Antithrombotic Treatment in Patients with Non-valvular Atrial Fibrillation Undergoing Percutaneous Coronary Intervention: Rationale and Design of the Greek AntiPlatElet Atrial Fibrillation (GRAPE-AF) Registry. Cardiovascular Drugs and Therapy 32(2): 191-196, 2018

Randomized clinical trial of intestinal ostomy takedown comparing pursestring wound closure vs conventional closure to eliminate the risk of wound infection. Diseases of the Colon and Rectum 56(2): 205-211, 2013

Outcome after Fontan failure and takedown to an intermediate palliative circulation. Annals of Thoracic Surgery 84(3): 880-887, 2007

Penetrating Disease, Narcotic Use, and Loop Ostomy Are Associated with Ostomy and IBD-related Complications After Ostomy Surgery in Crohn's Disease Patients. Journal of Gastrointestinal Surgery 19(10): 1852-1861, 2016

Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. Zeitschrift für Gerontologie und Geriatrie 38(5): 322-327, 2005

Nutritional assessment of patients with esophageal cancer. "Nutritional Assessment Index (NAI)" to estimate nutritional conditions in pre-and postoperative period. Nihon Geka Gakkai Zasshi 84(10): 1031-1041, 1983

Nutritional assessment in cancer: comparing the Mini-Nutritional Assessment (MNA) with the scored Patient-Generated Subjective Global Assessment (PGSGA). Nutrition and Cancer 53(1): 51-56, 2005

Use of immunological indices for nutritional assessment and outcome. Proceedings Congress of the European Society of Parenteral and Enteral Nutrition (9): 59-70, 1987

Assessment of outcome of perioperative nutritional interventions. Nutrition 13(11-12): 996-998, 1998

Nutritional status of pediatric patients submitted to ostomy procedures. Revista Paulista de Pediatria 31(1): 58-64, 2014

Nutritional assessment and patient outcome during oncological therapy. Cancer 43(5 Suppl): 2065-2069, 1979