The Influence of Nutritional Assessment on the Outcome of Ostomy Takedown.
10.3393/jksc.2012.28.3.145
- Author:
Min Sang KIM
1
;
Ho Kun KIM
;
Dong Yi KIM
;
Jae Kyun JU
Author Information
1. Department of Surgery, Chonnam National University Hospital, Gwangju, Korea. jkju@jnu.ac.kr
- Publication Type:Original Article
- Keywords:
Ostomy takedown;
Malnutrition;
Albumins;
Surgical site infection;
Complication
- MeSH:
Albumins;
Body Mass Index;
Female;
Humans;
Male;
Malnutrition;
Nutrition Assessment;
Ostomy;
Postoperative Complications;
Retrospective Studies;
Risk Factors;
Weight Loss
- From:Journal of the Korean Society of Coloproctology
2012;28(3):145-151
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Ostomy takedown is often considered a simple procedure without intention; however, it is associated with significant morbidity. This study is designed to evaluate factors predicting postoperative complications in the ostomy takedown in view of metabolism and nutrition. METHODS: A retrospective, institutional review-board-approved study was performed to identify all patients undergoing takedown of an ostomy from 2004 to 2010. RESULTS: Of all patients (150), 48 patients (32%; male, 31; female, 17) had complications. Takedown of an end-type ostomy showed a high complication rate; complications occurred in 55.9% of end-type ostomies and 15.7% of loop ostomies (P < 0.001). Severe adhesion was also related to a high rate of overall complication (41.3%) (P = 0.024). In preoperative work-up, ostomy type was not significantly associated with malnutrition status. However, postoperatively severe malnutrition level (albumin <2.8 mg/dL) was statistically significant in increasing the risk of complications (72.7%, P = 0.015). In particular, a significant postoperative decrease in albumin (>1.3 mg/dL) was associated with postoperative complications, particularly surgical site infection (SSI). Marked weight loss such as body mass index downgrading may be associated with the development of complications. CONCLUSION: A temporary ostomy may not essentially result in severe malnutrition. However, a postoperative significant decrease in the albumin concentration is an independent risk factor for the development of SSI and complications.
