回肠袢造口早期闭合与晚期闭合的系统回顾。

Surgery Research and Practice Pub Date : 2020-08-31 eCollection Date: 2020-01-01 DOI:10.1155/2020/9876527
Ahmed A Aljorfi, Abdulhameed H Alkhamis
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引用次数: 10

摘要

导言:环状回肠造口术是结肠直肠手术中最常用的技术之一,用于建立可逆的粪便分流和绕过大肠,以保护下游结肠直肠吻合或结肠肛管吻合。然而,这一过程会导致大量的并发症,包括长期的心理影响。目前,对于环状回肠造口闭合的最佳时间尚未达成共识。一些研究建议回肠造口术的早期逆转可以减少这些并发症。本研究旨在回顾现有的文献,以确定早期闭合回肠袢造口术的好处。方法:检索所有文献,包括比较早期和晚期回肠造口术在发病率、死亡率或生活质量方面的结果。传统文献将回肠袢造口术的早期闭合定义为闭合小于3个月,晚期闭合定义为闭合大于3个月。使用我们的纳入和排除标准对所得文章进行筛选。最后,对剩余的文章进行质量评估,并将其结果相互比较,以得出我们的结论。结果和讨论。结果略倾向于早期闭合回肠袢造口术。然而,所回顾的研究存在局限性,包括研究的异质性、选择偏倚、缺乏测量结果的明确定义以及样本量小。考虑到这一点,所选患者早期闭合回肠袢造口的结果是有希望的,需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Systematic Review of Early versus Late Closure of Loop Ileostomy.

Introduction: A Loop ileostomy is one of the most common techniques used in colorectal surgery to establish a reversible faecal diversion and bypass the large bowels, in order to protect either a downstream colorectal anastomosis or a coloanal anastomosis. However, it is a procedure that can cause a plethora of complications including long term ones such as the psychological effects. Currently, there is no consensus regarding the optimal time to perform closure of a loop ileostomy. Some studies suggested the early reversal of ileostomy procedure as a solution to reduce these complications. This study aims to review the available literature in order to ascertain the benefits behind early closure of loop ileostomy.

Methods: The literature was searched for all studies that included a comparison between the outcomes of early and late closure of loop ileostomy in terms of morbidity, mortality, or quality of life, where available. Early closure of loop ileostomy is defined as closure less than three months and late as more than three months, in accordance with conventional literature. The resultant articles were filtered using our inclusion and exclusion criteria. Finally, the remaining articles were assessed for quality and their results were compared to one another in order to draw our conclusions. Results and Discussion. The results were slightly inclined toward early closure of loop ileostomy. However, there were limitations of the studies reviewed, including the heterogenicity of studies, selection bias, lack of clear definition of measured outcomes, and small sample size. Taking that into consideration, the results of early closure of loop ileostomies in the selected patients were promising and require further investigation.

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来源期刊
自引率
0.00%
发文量
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期刊介绍: Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.
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