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The nutritional impact of diverting stoma-related complications in elderly rectal cancer patients

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

Diverting stomas following rectal cancer surgery can affect patients' quality of life, and their complications may negatively affect patients' long-term outcomes and quality of life. The purpose of this study is to investigate the relationship between diverting stoma-related complications and nutritional status.

Methods

In a retrospective study of 114 patients aged 65 years and older who underwent diverting loop ileostomy following rectal cancer surgery between June 2004 and March 2011, we analyzed retrospectively diverting stoma-related complications and nutrition status for the following time periods: before stoma construction, before stoma closure, and after stoma closure.

Results

Complications related to the diverting stoma developed in 24 (21.1 %) patients and complications related to stoma closure in 11 (9.6 %) patients. Nutritional screening performed prior to stoma closure showed that patients who experienced stoma formation-related complications had lower albumin levels (P = 0.016) and lower total lymphocytes (P = <0.0001). Body weight loss was more severe in patients with stoma-related complication (P = 0.036).

Conclusions

Diverting stoma-related complications may affect patient's nutritional status. Stoma closure operation and proper nutritional support may be important for avoiding complications and improving patients' long-term outcomes and quality of life.

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Acknowledgment

The manuscript is an original work and has not been submitted or is under consideration for publication in another journal. The study complies with current ethical consideration. The authors do not have any possible conflicts of interest. No competing financial interests exist.

The present study was designed by Kye, Cho, and HJ Kim and conducted by Kye and Cho. Kye, HJ Kim, JG Kim, and Cho analyzed data and performed statistical analyses. Kye, HJ Kim, JG Kim, and Cho wrote the paper. Cho had primary responsibility for final content. All authors read and approved the final manuscript.

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Authors and Affiliations

  1. Department of Surgery, St. Vincent Hospital, The Catholic University of Korea, 93-6, Ji-dong, Paldal-gu, Suwon-si, Gyeonggi-do, 442-723, Republic of Korea

    Bong-Hyeon Kye, Hyung-Jin Kim & Hyeon-Min Cho

  2. Department of Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Republic of Korea

    Jun-Gi Kim

Authors
  1. Bong-Hyeon Kye
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  2. Hyung-Jin Kim
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  3. Jun-Gi Kim
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  4. Hyeon-Min Cho
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Correspondence to Hyeon-Min Cho.

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Kye, BH., Kim, HJ., Kim, JG. et al. The nutritional impact of diverting stoma-related complications in elderly rectal cancer patients. Int J Colorectal Dis 28, 1393–1400 (2013). https://doi.org/10.1007/s00384-013-1699-4

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  • DOI: https://doi.org/10.1007/s00384-013-1699-4

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