A PROSPECTIVE CASE STUDY: ASSOCIATION OF LOW SERUM ALBUMIN LEVEL AND LONGER INTERVAL TO CLOSURE WITH COMPLICATIONS RATE AFTER ILEOSTOMY CLOSURE

Abstract

Background: A loop ileostomy is the stoma most constantly used to defunction an empty colon in order to safeguard a vulnerable distal anastomosis. Some cases have a trouble-free stoma, while others have recurring problems that may need another surgery. A temporary stoma, which has secured an anastomosis, may be closed as soon as the anastomosis is soundly healed. Early takedown, at around 2 weeks, is exercised by some surgeons but is technically more tough at this stage. A holdup of 6 – 8 weeks allows the stoma to mature and the planes around the stoma to become more dened. The further delay will also allow the case to get back nutritious and immunological status after a major operation, and will also reduce the danger of thromboembolic complications. However, the case has to learn to manage the stoma in order to return home. nonetheless, the morbidity and mortality associated with ileostomy reversal can not be overlooked. We assessed the possible danger factors for complications following ileostomy reversal. All patients who underwent loop ileostomy closure between November 2019 andMaterials and methods: December 2021 at Krishna Rajendra Hospital, Mysore where identied. Medical records on patient characteristics, preoperative management, surgical techniques, postoperative management, chemotherapy/radiotherapy, and complications were retrospectively analyzed in a prospectively collected database. A total of 84 patients underwent loop ileostomy closure. The overall complication rate was 25 % and one patient died.Results: The two most common complications were wound infection (18%) and small bowel obstruction (3.9%). In univariable and multivariable analyses, closure technique or chemotherapy did not affect the outcome, but low serum albumin <3.5 g/dL and longerinterval to ileostomy closure were independent contributingfactors for morbidities of ileostomy closure. Closure approach or chemotherapy didn't affect theConclusion: complication of ileostomy closure. Nevertheless, serum albumin <3.5 g/dL and a longer interval to ileostomy closure were identied as risk factors for morbidity of ileostomy closure. These two factors should be corrected and planned before ileostomy closure.