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CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(02): 168-175
DOI: 10.1055/s-0041-1730422
Original Article

Morbidity and Mortality Associated with Loop Ileostomy Closure Procedures in a Reference Service in Coloproctology in Recife, Pernambuco

Morbimortalidade associada aos procedimentos de fechamento de ileostomia em alça em um serviço de referência em coloproctologia em Recife, Pernambuco (PE)
Rodrigo Artur Souza de Oliveira 
1   Sociedade Brasileira de Coloproctologia, Brazil
2   Coloproctology Service, Hospital Barão de Lucena, Recife, PE. Brazil
,
Aline Ribeiro Teixeira Cavalcante 
1   Sociedade Brasileira de Coloproctologia, Brazil
2   Coloproctology Service, Hospital Barão de Lucena, Recife, PE. Brazil
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Abstract

Objective To evaluate the morbidity and mortality related to the surgical procedure of loop ileostomy closure, in a reference service in coloproctology, as well as possible variables that may be related to a higher frequency of complications.

Methods A retrospective study evaluated 66 procedures of loop ileostomy closure, performed between December 2005 and December 2017, at the coloproctology service of Barão de Lucena Hospital, in Recife, Brazil.

Results There were complications in 20 (30.3%) patients, 11 of whom were classified as grade I (Clavien-Dindo), and 9 of whom were classified as grade II to V. In 7.6% of the cases, one or more surgical reassessments were required. Mortality was 1.5%. There was no statistical relevance in the correlation of the studied variables with the occurrence of complications.

Conclusion Loop ileostomy closure presents an important morbidity, reaching more than 30%, although mortality is low. The analyzed variables did not show significant statistics for a higher occurrence of complications.

Resumo

Objetivo Avaliar a morbimortalidade relacionada ao procedimento cirúrgico de fechamento ileostomia em alça, em um serviço de referência em coloproctologia, bem como possíveis variáveis que possam se relacionar com uma maior frequência de complicações.

Métodos Estudo retrospectivo, com análise de prontuários de 66 procedimentos de fechamento de ileostomia em alça, realizados entre dezembro de 2005 e dezembro de 2017, no serviço de coloproctologia do Hospital Barão de Lucena, em Recife, PE.

Resultados Houve complicações em 20 (30,3%) pacientes, sendo 11 delas classificadas como grau I (Clavien-Dindo) e 9 classificadas de grau II a V. Em 7,6% dos casos, houve necessidade de uma ou mais reabordagens cirúrgicas. A mortalidade foi de 1,5%. Não houve relevância estatística na correlação das variáveis estudadas com a ocorrência de complicações.

Conclusão O procedimento cirúrgico de fechamento de ileostomia apresenta morbidade importante, podendo chegar a mais de 30%, embora a mortalidade seja baixa. As variáveis analisadas não demonstraram significância estatística para maior ocorrência de complicações.

Keywords

ileostomy closure - morbimortality - Clavien-Dindo

Palavras-chave

fechamento de ileostomia - morbimortalidade - Clavien-Dindo


Publikationsverlauf

Eingereicht: 29. April 2020

Angenommen: 15. Januar 2021

Artikel online veröffentlicht:
30. Juni 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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