A study on hospital stay after loop ileostomy closure
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2017, Vol 9, Issue 1
Abstract
Recent studies have shown that closure of loop ileostomy can be performed in the day-care setting, reducing the length and cost of hospitalisation. By analysing our patients who have undergone closure, we aimed to determine the minimum duration of hospital stay and potential factors behind longer stays. A database of patients undergoing closure of loop ileostomy in our unit was examined. The time taken to discharge, morbidity, complications and re-admission rates were recorded. Fifty four patients underwent reversal of ileostomy between July 2015 and November 2016. Median age was 53 years (range, 22–81 years). The median length of stay was 5 days (range, 5–18 days). Many appeared able to be discharged earlier. Thirty six patients (66.6%) had bowel function within 2 days. Eleven patients (20%) developed complications, which included wound infection (10%), small bowel obstruction/ileus (4%), anastomotic leak (4%) & enterocutaneous fistula (2%). Of the patients, 50% stayed longer than 5 days despite having no postoperative complications. The majority of patients undergoing loop ileostomy reversal at our institution can be discharged earlier than they are at present. Support in the community and the implementation of modified UK day-case surgery protocols are suggested to help shorten patient's length of stay in hospital.
Authors and Affiliations
Dr. Deepak Kumar and Dr. D. K. Sinha -
Keywords
Related Articles
- EP ID EP399712
- DOI -
- Views 131
- Downloads 0
Development and validation of hplc method for simultaneous estimation of meclizine and folic acid in bulk drug and pharmaceutical formulations
A simple, specific, accurate, precise stability indicating reversed-phase high-performance liquid chromatographic (RP-HPLC) method was developed and validated for the simultaneous determination of folic acid (FA) and mec...
A rare case of aneurysmal bone cyst of the calcaneum
Aneurysmal bone cyst (ABC) is a benign solitary bone lesion of unknown etiology. ABCs mainly occur in the long bones but only rarely in the bones of the feet. Few cases of ABC involving the calcaneum have been reported.W...
Universal health coverage: A community based assessment in Himachal Pradesh, India
Background: Universal Health Coverage (UHC) has gained importance all over the world. UHC is not a new concept for India as Bhore Committee in 1946 recommended that Indian health system should be designed to provide heal...
Is there an association between 5-ht receptor (5-ht2a) gene promoter polymorphism and obesity?
Introduction and objectives: Serotonin; (5-HT) is a neurotransmitter that has major role in energy homeostasis, behavior and mood changes; thus affects the individual’s body weight and liability to obesity. 5-HT shows co...
Status Of Vitamin C, Vitamin E And Glutathione In Diabetic Patients With And Without Dyslipidemia
Hyperglycemia in DM is associated with increased lipid peroxidation and excessive production of free radicals which lead to oxidative stress by autoxidation of glucose. It is an important pathogenic mechanism in the deve...