title: Intestinal stoma in patients with colorectal cancer from the perspective of 20-year period of clinical observation.
abstract: BACKGROUND
  Intestinal stoma is a procedure most often performed in patients with colorectal cancer.
  
  
  OBJECTIVE
  To identify the percentage of patients with colorectal cancer in which the intestinal stoma was performed.
  
  
  METHODS
  We retrospectively analysed 443 patients treated during a 20-year period (1994-2013) due to colorectal cancer, in which the intestinal stoma was made during the first surgical intervention.
  
  
  RESULTS
  In the second analysed decade, a significant decrease in the percentage of created stomas, definitive stomas in particular, was observed. Stomas were made significantly more often in patients with a tumour located in the rectum, the left half of the colon, and in patients undergoing urgent surgeries. An increased incidence of intestinal stomas was associated with a higher severity of illness and higher proportion of unresectable and non-radical procedures. The definitive stomas were significantly more often made in men and in patients with tumours located in the rectum, whereas temporary stomas were created significantly more often in patients undergoing urgent operations.
  
  
  CONCLUSIONS
  In the last decade (2004-2013) the number of intestinal stomas in patients operated due to colorectal cancer was significantly reduced.
authors.affiliation: Division of General, Gastroenterological, Colorectal and Oncological Surgery, Department of Vascular Surgery and Angiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Banaszkiewicz
authors.affiliation: Division of General, Gastroenterological, Colorectal and Oncological Surgery, Department of Vascular Surgery and Angiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Łukasz P
authors.initials: ŁP
authors.lastname: Woda
authors.affiliation: Division of General, Gastroenterological, Colorectal and Oncological Surgery, Department of Vascular Surgery and Angiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Zwoliński
authors.affiliation: Division of General, Gastroenterological, Colorectal and Oncological Surgery, Department of Vascular Surgery and Angiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Tojek
authors.affiliation: Division of General, Gastroenterological, Colorectal and Oncological Surgery, Department of Vascular Surgery and Angiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Jarmocik
authors.affiliation: Department of Vascular Surgery and Angiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
authors.forename: Arkadiusz
authors.initials: A
authors.lastname: Jawień
keywords: colorectal cancer; colostomy