Effect of anterograde lavage via ileal double-loop stoma on preoperative colonoscopy and postoperative recovery of bowel function
10.3969/j.issn.1673-9701.2024.04.007
- VernacularTitle:经回肠双襻造口远端灌肠对术前肠镜及术后肠功能恢复的影响
- Author:
Shurong HUANG
1
Author Information
1. Department of Gastrointestinal Surgery, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, Fujian, China
- Publication Type:Journal Article
- Keywords:
Rectal cancer;
Double-loop ileal stoma;
Anterograde bowel preparation;
Retrograde bowel preparation;
Comfortable medical treatment
- From:
China Modern Doctor
2024;62(4):28-30,42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of anterograde lavage via ileal double-loop stoma on preoperative colonoscopy and postoperative bowel function.Methods A total of 191 patients who underwent laparoscopic anterior rectal resection plus prophylactic double-loop ileal stomy in Quanzhou First Hospital Affiliated to Fujian Medical University from January 2019 to December 2021 were selected and divided into anterograde group(n=97)and retrograde group(n=94)according to different lavage methods.Patients in anterograde group underwent temporary double-loop ileal stomy with distal lavage.Patients in retrograde group underwent anal lavage.The qualified rate of colonoscopy,external damage rate of intestinal mucosa,exhaust time,defecation time,fluid intake time,total hospitalization time,total hospitalization cost and satisfaction of two groups of patients were compared.Results The qualified rate of preoperative colonoscopy in anterograde group was significantly higher than that in retrograde group,and the external damage rate of intestinal mucosa was significantly lower than that in retrograde group(P<0.05).The postoperative exhaust time,fluid intake time and total hospitalization time in anterograde group were significantly shorter than those in retrograde group(P<0.05).The total hospitalization cost in anterograde group was significantly lower than that in retrograde group(P<0.05).The satisfaction of patients in anterograde group was significantly higher than that in retrograde group(89.69%vs.52.13%,Z=-7.165,P<0.001).Conclusion Anterograde lavage via ileal double-loop stoma can improve the qualified rate of preoperative colonoscopy,is conducive to postoperative intestinal function recovery,reduce patients'pain,and improve patients'satisfaction and comfort,which is worthy of clinical application.
