title: Complications, surgical revision and quality of life with conventional and continent ileostomy.
abstract: Continent ileostomy remains an alternative to restorative proctocolectomy in selected cases. Results with continent ileostomy in 55 patients are reported--in 82% after conversion from conventional ileostomy. Three years postoperatively 93% were continent and 7% partially continent, and after 5 years 95% were continent. Complications requiring laparotomy arose in ten patients (18%) during the immediate postoperative period (30% among the first 27 patients, 7% of the subsequent 28). The incidence of late complications requiring laparotomy was 16% in the first year, 10% in the next 2 years and 5% after the third year. Slipping of the nipple occurred in 9% of the patients in the first postoperative year. No reservoir has been removed. The quality of life improved after colectomy with conventional ileostomy, but most patients experienced a dramatic further improvement after construction of the continent ileostomy. The improvement in ultimate quality of life was not influenced by revision for malfunction of continent ileostomy.
authors.affiliation: Department of Surgery, University Hospital, Linköping, Sweden.
authors.forename: R
authors.initials: R
authors.lastname: Sjödahl
authors.forename: E
authors.initials: E
authors.lastname: Lemon
authors.forename: P O
authors.initials: PO
authors.lastname: Nyström
authors.forename: G
authors.initials: G
authors.lastname: Olaison
mesh_terms: D000293:Adolescent; D000328:Adult; D003082:Colectomy; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012007:Rectum / Q000601:surgery; D012086:Reoperation