Background Image
Table of Contents Table of Contents
Previous Page  32 / 60 Next Page
Basic version Information
Show Menu
Previous Page 32 / 60 Next Page
Page Background

32

Tania Gallart Aragón

Cierre precoz de ileostomía en cáncer de recto

y el coste sanitario del mismo. La reanudación precoz a las acti-

vidades de la vida diaria del paciente y la ausencia de estoma,

permiten una mejora notable en su calidad de vida (13,18,20).

CONCLUSIONES:

La realización de ileostomías de protección en las anasto-

mosis rectales bajas ha demostrado ser una medida preventiva

eficaz para disminuir la morbimortalidad de las dehiscencias de

las mismas. Su cierre no debe considerarse un procedimiento

menor. El cierre precoz de la ileostomía reduce el íleo postopera-

torio, la estancia media hospitalaria, mejora la calidad de vida y

el coste sanitario.

REFERENCIAS BIBLIOGRÁFICAS:

1.

Courtier R, Parés D, Silva CA, Gil MJ, Pascual M, Alonso S,

et al. Clinical results of loop ileostomy closures in rectal

cancer surgical patients. Effect of chemotherapy in the

waiting period. Cir Esp 2010; 88(5):308-13.

2.

Thalheimer A, Bueter M, Kortuem M, Thiede A, Meyer D.

Morbidity of temporary loop ileostomy in patients with

colorectal cancer. Dis Colon Rectum 2006;49(7):1011-7

3.

Wong KS, Remzi FH, Gorgun E, Arrigain S, Church JM,

Preen M, et al. Loop ileostomy closure after restorative

proctocolectomy: outcome in 1,504 patients. Dis Colon

Rectum 2005;48(2):243-50.

4.

Smedh K, Olsson L, Johansson H, Aberg C, Andersson M.

Reduction of postoperative morbidity and mortality in

patients with rectal cancer following the introduction of a

colorectal unit. Br J Surg 2001; 88(2):273-7.

5.

Peeters KC, Tollenaar RA, Marijnen CA, Klein Kranenbarg E,

Steup WH, Wiggers T, et al. Dutch Colorectal Cancer Group.

Risk factors for anastomotic failure after total mesorectal

excision of rectal cancer. Br J Surg 2005;92(2):211-6

6.

Gastinger I, Marusch F, Steinert R, Wolff S, Koeckerling

F, Lippert H; Working Group ‘Colon/Rectum Carcinoma’.

Protective defunctioning stoma in low anterior resection

for rectal carcinoma. Br J Surg 2005;92(9):1137-42

7.

Alves A, Panis Y, Lelong B, Dousset B, Benoist S, Vicaut E.

Randomized clinical trial of early versus delayed temporary

stoma closure after proctectomy. Br J Surg 2008;95(6):693-8

8.

Menegaux F, Jordi-Galais P, Turrin N, Chigot JP. Closure of

small bowel stomas on postoperative day 10. Eur J Surg

2002;168(12):713-59. Perez RO, Habr-Gama A, Seid VE,

Proscurshim I, Sousa AH Jr, Kiss DR, et al. Loop ileostomy

morbidity: timing of closure matters. Dis Colon Rectum

2006;49(10):1539-45. 1

9.

Carlsen E, Bergan AB. Loop ileostomy: technical aspects and

complications. Eur J Surg 1999;165(2):140-3

10. Chude GG, Ravate NV, Patris V, Koshariva M, Jagad R, Kawamoto

J, et al. Defunctioning loop ileostomy with low anterior

resection for distal rectal cancer: Should we make an ileostomy

as a routine procedure. A prospective randomized study.

Hepatogastroenterology. 2008;55:1562-7. 

11. Rondelli F, Reboldi P, Rulli A, Barberini F, Guerrisi A, Izzo L, et

al. Loop ileostomy for fecal diversion after colorectal or coloanal

anastomosis: ameta-analysis. Int J Colorrectal Dis. 2009;24:479-88. 

12. Tang CL, Seow-Choen F, Fook-Chong S, Eu KW. Bioresorbable

adhesion barrier facilates early closure of the defunctioning

ileostomy after rectal excision: A prospective, randomized

trial. Dis Colon Rectum. 2003;46:1200-7.

13. Shabbir J, Britton DC. Stoma complications: A literature

overview. Colorectal Dis. 2010;12:958-64. 

14. Perez RO, Habr-Gama A, Seid VE, Proscurshim T, Sousa AH,

Kiss DR, et al. Loop ileostomy morbidity: Timing of closure

matters. Dis Colon Rectum. 2006;49:1539-45. 

15. Thalheimer A, Bueter M, Kortuem M, Thiede A, Meyer

D. Morbidity of temporary loop ileostomy in patients with

colorectal cancer. Dis Colon Rectum. 2006;49:1011-7. 

16. Wijesuriya SR, Hewavisenthi J, Deen KI. Patiens with rectal

cancer having neoadyuvant chemoradiation do not have

increased complications of ileostomy closure. Ceylon Med.

2010;55:115-7. 

17. Ruiz MD, Durán MC, Rivera S y cols. Calidad de vida y

necesidades de personas ostomizadas y sus cuidadores.

Rev ROL Enf 2003; 26: 309-14.

18. Turnbull GB, Colwell J, Erwin-Toth P. Quality of life : pre,

post and beyond ostomy surgery. Clinician strategies for

helping people with a stoma lead helthy productive lives.

Ostomy Wound Management 2004; 50: 2-12.

19. Furlani R, Ceolim MF. Living with a permanent intestinal

stoma: changes told by stoma patient. Rev Bras Enferm

2002; 55: 586-91.

20. Eypasch E, Williams JI, Wood-Dauphinee S, Ure BM,

Schmülling C, Neugebauer E, et al. Gastrointestinal Quality

of Life Index: development, validation and application of a

new instrument. Br J Surg 1995;82:216-22.