Early Postoperative Outcomes of Temporary Intestinal Stoma Reversal Surgery

Ziaullah  Bacha; Hafiz Niamat  Ullah

doi:10.54112/bcsrj.v6i6.2030

Authors

Ziaullah Bacha Department of General Surgery, MTI Lady Reading Hospital, Peshawar, Pakistan
Hafiz Niamat Ullah Department of General Surgery, MTI Lady Reading Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.2030

Keywords:

Stoma Reversal, Postoperative Complications, Surgical Site Infection, Anastomotic Leak, Intestinal Stoma

Abstract

Temporary intestinal stoma closure is standard but can carry notable short-term morbidity. Early postoperative complications directly affect recovery, hospital stay, and costs. Robust local data can guide perioperative optimization. Objective: To determine the frequency of early postoperative outcomes after temporary intestinal stoma reversal surgery. Methodology: Three hundred ninety-six patients aged 20 to 60 years of either gender scheduled for temporary stoma reversal were enrolled for this study. Patients with diabetes or gastrointestinal carcinomas were omitted. A single experienced surgeon performed all reversal procedures. Patients were assessed within seven days postoperatively for complications such as surgical site infection, wound, small bowel obstruction, and anastomotic leak. Results: The mean age of the patients in this study was 41.60 ± 11.86 years, with male patients 225 (56.8%). The indications for the initial stoma were enteric perforation 215 (54.3%), trauma 131 (33.1%), and abdominal TB 50 (12.6%). The postop complications were surgical site infection 97 (24.5%), wound dehiscence 29 (7.3%), small bowel obstruction 27 (6.8%), and anastomotic leak 13 (3.3%). Conclusion: Early postoperative outcomes after temporary intestinal stoma reversal surgery were surgical site infection (24.5%), wound dehiscence (7.3%), small bowel obstruction (6.8%), and anastomotic leak (3.3%).

Downloads

Download data is not yet available.

References

Keane C, Sharma P, Yuan L, Bissett I, O'Grady G. Impact of temporary ileostomy on long-term quality of life and bowel function: a systematic review and meta-analysis. ANZ J Surg. 2020;90(5):687–92. https://doi.org/10.1111/ans.15552

Yang K, Zhao J, Chu L, Hu M, Zhou W, Li Y, et al. Temporary impairment of renal function in patients with rectal cancer treated with diverting ileostomy. J Gastrointest Oncol. 2021;12(2):620–8. https://doi.org/10.21037/jgo-20-350

Ge Z, Zhao X, Liu Z, Yang G, Wu Q, Wang X, et al. Complications of preventive loop ileostomy versus colostomy: a meta-analysis, trial sequential analysis, and systematic review. BMC Surg. 2023;23(1):235. https://doi.org/10.1186/s12893-023-02129-w

Chow A, Tilney HS, Paraskeva P, Jeyarajah S, Zacharakis E, Purkayastha S. The morbidity surrounding reversal of defunctioning ileostomies: a systematic review of 48 studies including 6,107 cases. Int J Colorectal Dis. 2009;24(6):711–23. https://doi.org/10.1007/s00384-009-0660-z

Parini D, Bondurri A, Ferrara F, Rizzo G, Pata F, Veltri M, et al. Surgical management of ostomy complications: a MISSTO-WSES mapping review. World J Emerg Surg. 2023;18(1):48. https://doi.org/10.1186/s13017-023-00499-y

MacDonald S, Wong LS, Ng HJ, Hastings C, Ross I, Quasim T, et al. Postoperative outcomes and identification of risk factors for complications after emergency intestinal stoma surgery: a multicentre retrospective study. Colorectal Dis. 2024;26(7):1393–403. https://doi.org/10.1111/codi.16947

Zhu Y, Chen J, Lin S, Xu D. Risk factor for the development of surgical site infection following ileostomy reversal: a single-center report. Updates Surg. 2022;74(5):1675–82. https://doi.org/10.1007/s13304-022-01335-0

Gustafsson CP, Gunnarsson U, Dahlstrand U, Lindforss U. Loop-ileostomy reversal—patient-related characteristics influencing time to closure. Int J Colorectal Dis. 2018;33(5):593–600. https://doi.org/10.1007/s00384-018-2994-x

O'Sullivan NJ, Temperley HC, Nugent TS, Low EZ, Kavanagh DO, Larkin JO, et al. Early vs standard reversal ileostomy: a systematic review and meta-analysis. Tech Coloproctol. 2022;26(11):851–62. https://doi.org/10.1007/s10151-022-02629-6

Ng ZQ, Levitt M, Platell C. The feasibility and safety of early ileostomy reversal: a systematic review and meta-analysis. ANZ J Surg. 2020;90(9):1580–7. https://doi.org/10.1111/ans.15814

van Westreenen HL, Visser A, Tanis PJ, Bemelman WA. Morbidity related to defunctioning ileostomy closure after ileal pouch-anal anastomosis and low colonic anastomosis. Int J Colorectal Dis. 2012;27(1):49–54. https://doi.org/10.1007/s00384-011-1276-7

Tabassum HM, Shahzad Z, Sikandar S. Temporary stoma reversal: indications and outcome at a tertiary care hospital. J Sheikh Zayed Med Coll. 2011;2(4):227–30. [No DOI found]

Shaikh S, Laghari ZH, Laghari QA, Abro S, Dal NA. Early or delayed reversal of temporary ileostomy after typhoid perforation: a comparative study at a tertiary care hospital. J Liaquat Uni Med Health Sci. 2020;19(2):78–81. [No DOI found]

Khan A, Haris M, Rehman M, et al. Early postoperative complications and surgical anatomy after ileostomy reversal among the population of Khyber Pakhtunkhwa, Pakistan. Cureus. 2021;13(11):e19660. https://doi.org/10.7759/cureus.19660

MacDonald S, Gallagher A, McNicholl L, McElroy L, Hughes R, Quasim T, et al. Stoma reversal after emergency stoma formation—the importance of timing: a multi-centre retrospective cohort study. World J Emerg Surg. 2025;20(1):26. https://doi.org/10.1186/s13017-025-00598-3

Aldardeer AA, Alsuity A, Mahmoud AG. Early same admission closure of temporary bowel stomas: pros and cons. Int Surg J. 2021;8(9):2669–74. https://doi.org/10.18203/2349-2902.isj20213180

Talukdar MM, Islam N, Jalal MT, Ovi MR, Nasrin S, Sheikh MS. Outcome of early reversal of intestinal stoma: a cross-sectional study. J Surg Res. 2023;6(4):343–7. https://doi.org/10.26502/jsr.10020320