title: Morbidity and mortality after the closure of a protective loop ileostomy: analysis of possible predictors.
abstract: OBJECTIVE
  A diverting loop ileostomy is often created to protect distal colorectal, coloanal and ileoanal anastomoses. Ileostomy closure is associated with somewhat morbidity and mortality. The aim of this study was to determine the morbidity and morbidity related factors of ileostomy closure.
  
  
  METHODS
  Prospectively recorded data of 255 patients who underwent diverting loop ileostomy between October 2000 and May 2011 were analyzed retrospectively.
  
  
  RESULTS
  The study consisted of 139 male and 116 female patients with a median age of 54 years (range 17-79) who underwent ileostomy closure. The morbidity rate of ileostomy closure was 18.4% (47 patients) and the mortality rate was 1.2% (3 patients). When patients with morbidity and without morbidity were compared in terms of gender; age, American Society of Anesthesiology Score, primary pathology, surgeon factor; setting of ileostomy creation and time to stoma closure, only American Society of Anesthesiology Score was found as a predictor for morbidities.
  
  
  CONCLUSIONS
  Closure of loop ileostomy is a simple procedure with low morbidity and a small but significant risk of mortality. Surgeons must consider the known risks in conjunction with the overall benefit/risk analysis before deciding between a temporary fecal diversion and a discontinuous colonic resection.
authors.affiliation: Bezmialem Vakif University, School of Medicine, Department of General Surgery, Division of Colorectal Surgery, Istanbul, Turkey. gokhancipe@hotmail.com
authors.forename: Gokhan
authors.initials: G
authors.lastname: Cipe
authors.forename: Bulent
authors.initials: B
authors.lastname: Erkek
authors.forename: Ayhan
authors.initials: A
authors.lastname: Kuzu
authors.forename: Ethem
authors.initials: E
authors.lastname: Gecim
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D007081:Ileostomy; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D012086:Reoperation; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013536:Suture Techniques / Q000009:adverse effects / Q000401:mortality; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult