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Impact of prior abdominal surgery on postoperative prolonged ileus after ileostomy repair

DC Field Value Language
dc.contributor.author강정현-
dc.contributor.author김남규-
dc.contributor.author김임경-
dc.contributor.author백승혁-
dc.contributor.author손승국-
dc.contributor.author이강영-
dc.date.accessioned2018-08-28T16:41:43Z-
dc.date.available2018-08-28T16:41:43Z-
dc.date.issued2018-
dc.identifier.issn1015-9584-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161845-
dc.description.abstractBACKGROUND AND AIMS: Postoperative ileus (POI) is one of the most common reasons for sustained hospital stays after ileostomy repair. Although many factors have been investigated as POI risk factors, the investigation of the impact of prior abdominal surgery (PAS) before rectal cancer surgery has been limited. This study aimed to identify the impact of PAS as a risk factor for POI after ileostomy repair. MATERIAL AND METHODS: A total of 220 consecutive patients with rectal cancer who underwent ileostomy repair were enrolled. The patients were divided into PAS-positive and PAS-negative groups according to the history of PAS before rectal cancer surgery. Univariate and multivariate analyses were performed to identify the clinicopathological factors associated with POI. RESULTS: The PAS-positive group had a longer operation time (111 min vs. 93.4 min, p=0.029) and a greater length of hospital stay (10 days vs. 7.8 days, p=0.003) compared with the PAS-negative group. POI was more frequent in the PAS-positive group (23.1% vs. 6.2%, p=0.011). The POI rate in the entire cohort was 8.1%. The repair method (stapled side-to-side vs. hand-sewn end-to-end, odds ratio OR=3.6, 95% confidence interval CI=1.2-11.1, p=0.022) and PAS (odds ratio=4.0, 95% confidence interval=1.2-12.8, p=0.017) were significant predictors of POI in the multivariate analysis. CONCLUSIONS: This study suggests that PAS before rectal cancer surgery is associated with POI after ileostomy repair.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherExcerpta Media Asia-
dc.relation.isPartOfASIAN JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleImpact of prior abdominal surgery on postoperative prolonged ileus after ileostomy repair-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorIm-Kyung Kim-
dc.contributor.googleauthorJeonghyun Kang-
dc.contributor.googleauthorSeung Hyuk Baik-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.contributor.googleauthorSeung-Kook Sohn-
dc.identifier.doi10.1016/j.asjsur.2016.07.006-
dc.contributor.localIdA00080-
dc.contributor.localIdA00353-
dc.contributor.localIdA00851-
dc.contributor.localIdA01827-
dc.contributor.localIdA01978-
dc.contributor.localIdA02640-
dc.relation.journalcodeJ03114-
dc.identifier.eissn0219-3108-
dc.identifier.pmid27542335-
dc.subject.keywordileostomy repair-
dc.subject.keywordpostoperative ileus-
dc.subject.keywordprior abdominal surgery-
dc.subject.keywordrectal cancer-
dc.contributor.alternativeNameKang, Jeong Hyun-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameKim, Im Kyung-
dc.contributor.alternativeNameBaik, Seung Hyuk-
dc.contributor.alternativeNameSohn, Seung Kook-
dc.contributor.alternativeNameLee, Kang Young-
dc.contributor.affiliatedAuthorKang, Jeong Hyun-
dc.contributor.affiliatedAuthorKim, Nam Kyu-
dc.contributor.affiliatedAuthorKim, Im Kyung-
dc.contributor.affiliatedAuthorBaik, Seung Hyuk-
dc.contributor.affiliatedAuthorSohn, Seung Kook-
dc.contributor.affiliatedAuthorLee, Kang Young-
dc.citation.volume41-
dc.citation.number1-
dc.citation.startPage86-
dc.citation.endPage91-
dc.identifier.bibliographicCitationASIAN JOURNAL OF SURGERY, Vol.41(1) : 86-91, 2018-
dc.identifier.rimsid59437-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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