The Influence of Nutritional Assessment on the Outcome of Ostomy Takedown
Journal of the Korean Society of Coloproctology
;
: 145-151, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-176419
ABSTRACT
PURPOSE:
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.METHODS:
A retrospective, institutional review-board-approved study was performed to identify all patients undergoing takedown of an ostomy from 2004 to 2010.RESULTS:
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 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.CONCLUSION:
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Estomia
/
Redução de Peso
/
Índice de Massa Corporal
/
Avaliação Nutricional
/
Estudos Retrospectivos
/
Fatores de Risco
/
Desnutrição
/
Albuminas
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
2012
Tipo de documento:
Artigo
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