Factors predictive of high-output ileostomy: a retrospective single-center comparative study

• DOI: 10.1007/s00595-018-1756-2
• Publication Date: 2018-12-29T05:51:25Z
• Authors: Mitsunobu Takeda; Hidekazu Takahashi; Naotsugu Haraguchi; Norikatsu Miyoshi; Taishi Hata; Hirofumi Yamamoto; Chu Matsuda; Tsunekazu Mizushima; Yuichiro Doki; Masaki Mori
• Keywords: Ileostomy; Proctocolectomy; Ileus; Surgical oncology; Colorectal Surgery

High-output syndrome (HOS) is a complication of ileostomy, which can affect quality life significantly; however, its exact cause remains unknown. The aim this study was to establish the frequency, as well preoperative and intraoperative factors predictive HOS. subjects were 164 consecutive patients who underwent colorectal cancer surgery with ileostomy construction at our institute between January, 2011 August, 2018. Thirteen postoperative complications reported causes HOS, including intraperitoneal abscess, paralytic ileus, outlet obstruction, excluded. We used logistic regression analysis identify HOS developed in 36 151 (23.8%). There significantly more diabetic group (P = 0.03), but other patient such age, gender, body mass index, use daily laxatives not different groups. had cases total proctocolectomy 0.04), surgical operative time, blood transfusion two These results indicate that diabetes are predictors allowing for possibility early intervention via post-surgical treatment.