RESULTS OF REVERSING AN ILEOSTOMY WITH AND WITHOUT AN NG TUBE: A CROSS-SECTIONAL STUDY

Authors

  • A KHAN Department of Surgery, Bacha Khan Medical Complex (BKMC), KPK, Pakistan
  • A IMRAN Department of Surgery, Bacha Khan Medical Complex (BKMC), KPK, Pakistan
  • AA RAZA Department of Surgery, Bacha Khan Medical Complex (BKMC), KPK, Pakistan
  • SA SHAH Department of Surgery, Bacha Khan Medical Complex (BKMC), KPK, Pakistan
  • T GUL Department of Surgery, Bacha Khan Medical Complex (BKMC), KPK, Pakistan
  • M ISMAIL Department of Surgery, Bacha Khan Medical Complex (BKMC), KPK, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.639

Keywords:

Flatus Passage, Ileostomy Reversal, Abdominal Distention, And Nasogastric Tube

Abstract

This study aimed to compare the outcomes of patients who underwent ileostomy reversal surgery with and without a nasogastric (NG) tube. This cross-sectional study was conducted in the surgical department of Mardan Medical Complex in Mardan over one year, from January to August 2023. One hundred patients were recruited randomly, with 75 males (75%) and 25 females (25%). They were divided into two groups: Group 1 received NG tubes, while Group 2 did not. A customized proforma was used to collect information, which was then analyzed using SPSS version 22. The study population comprised 100 females and 75 (65%) males. The mean age of Group 1 was 25.22 years, and that of Group 2 was 26.11 years. The average hospital stay for Group 1 was 05.55 ± 02.45, while that of Group 2 was 04.62 ± 01.66. In Group 1, 7 (07.5%) patients experienced abdominal distension, while 5 (5%) patients in Group 2 experienced the same. Additionally, 62.35% of Group 1 patients passed flatus at a mean time of 47 ± 04.48 hours, while those in Group 2 passed flatus at 35 ± 03.31 hours after ileostomy reversal. The study found that patients who did not receive NG tubes had shorter hospital stays, were less likely to experience abdominal distension, and passed flatus earlier than those who did receive NG tubes. Therefore, it is suggested that NG tubes may not be necessary for all patients undergoing ileostomy reversal surgery.

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References

Ansari, M. S. H., Malik, R. N., and Khan, M. I. (2015). Comparison of mean hospital stay between ileostomy reversal patients with and without nasogastric tube placement. JMH S 9.

Aziz, M., Chaudhry, T. J., Khan, M. I., and Qureshi, K. H. (2016). Role of nasogastric tube placement in patients admitted for ileostomy reversal. Proceeding SZPGMI 30, 33-9.

Chow, A., Tilney, H. S., Paraskeva, P., Jeyarajah, S., Zacharakis, E., and Purkayastha, S. (2009). The morbidity surrounding reversal of defunctioning ileostomies: a systematic review of 48 studies including 6,107 cases. International journal of colorectal disease 24, 711-723.

Eltaybani, S., Yamamoto-Mitani, N., Ninomiya, A., and Igarashi, A. (2021). The association between nurses’ burnout and objective care quality indicators: a cross-sectional survey in long-term care wards. BMC nursing 20, 1-10.

Kasparek, M. S., Mueller, M. H., Glatzle, J., Enck, P., Becker, H. D., Zittel, T. T., and Kreis, M. E. (2004). Postoperative colonic motility increases after early food intake in patients undergoing colorectal surgery. Surgery 136, 1019-1027.

Khan, M. F., Azeem, S. M. I., Hussain, A., Shahzad, M., Kaleem, M., and Jaffar, Z. M. (2022). Comparison of mean hospital stay and mean time for first passage of first flatus in patients having post-operative nasogastric intubation with no intubation after small bowel anastomosis. Pakistan Journal of Surgery 38.

Luglio, G., Pendlimari, R., Holubar, S. D., Cima, R. R., and Nelson, H. (2011). Loop ileostomy reversal after colon and rectal surgery: a single institutional 5-year experience in 944 patients. Archives of surgery 146, 1191-1196.

Massenga, A., Chibwae, A., Nuri, A. A., Bugimbi, M., Munisi, Y. K., Mfinanga, R., and Chalya, P. L. (2019). Indications for and complications of intestinal stomas in the children and adults at a tertiary care hospital in a resource-limited setting: a Tanzanian experience. BMC gastroenterology 19, 1-10.

Nakanwagi, A. M., Kijjambu, S. C., Ongom, P., and Luggya, T. S. (2021). Outcomes of management of intestinal obstruction at an urban tertiary hospital in sub Saharan Africa: a cross-sectional study. BMC surgery 21, 1-7.

Nelson, R., Tse, B., and Edwards, S. (2005). Systematic review of prophylactic nasogastric decompression after abdominal operations. Journal of British Surgery 92, 673-680.

Parker, M. C., Wilson, M. S., Menzies, D., Sunderland, G., Clark, D., Knight, A., Crowe, A., Surgical, and Group, C. A. R. (2005). The SCAR‐3 study: 5‐year adhesion‐related readmission risk following lower abdominal surgical procedures. Colorectal disease 7, 551-558.

Peter, S. D. S., Valusek, P. A., Little, D. C., Snyder, C. L., Holcomb III, G. W., and Ostlie, D. J. (2007). Does routine nasogastric tube placement after an operation for perforated appendicitis make a difference? Journal of Surgical Research 143, 66-69.

Savassi-Rocha, P., Conceicao, S., Ferreira, J., Diniz, M., Campos, I., Fernandes, V., Garavini, D., and Castro, L. (1992). Evaluation of the routine use of the nasogastric tube in digestive operation by a prospective controlled study. Surgery, gynecology & obstetrics 174, 317-320.

Verma, H., Dev, K., Pandey, S., Gurawalia, J., and Marwah, S. (2016). Temporary loop versus end ileostomy for faecal diversion in ileal perforation: a case matched study. Sri Lanka Journal of Surgery 34.

Vermulst, N., Vermeulen, J., Hazebroek, E. J., Coene, P., and van der Harst, E. (2006). Primary Closure of the Skin after Stoma ClosureManagement of Wound Infections Is Easy without (Long-Term) Complications. Digestive Surgery 23, 255-258.

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Published

2023-12-30

How to Cite

KHAN , A., IMRAN , A., RAZA , A., SHAH , S., GUL , T., & ISMAIL , M. (2023). RESULTS OF REVERSING AN ILEOSTOMY WITH AND WITHOUT AN NG TUBE: A CROSS-SECTIONAL STUDY. Biological and Clinical Sciences Research Journal, 2023(1), 639. https://doi.org/10.54112/bcsrj.v2023i1.639