The impact of delayed ileostomy closure on postoperative complications in ulcerative colitis patients following ileal pouch-anal anastomosis

Zhongyuan WANG; Song LI; Zeqian YU; Feng ZHU; Yi LI; Jianfeng GONG

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The impact of delayed ileostomy closure on postoperative complications in ulcerative colitis patients following ileal pouch-anal anastomosis

VernacularTitle:溃疡性结肠炎患者回肠储袋肛管吻合术后回肠造口延迟还纳对术后并发症的影响
Author: Zhongyuan WANG ¹ ; Song LI ¹ ; Zeqian YU ¹ ; Feng ZHU ¹ ; Yi LI ¹ ; Jianfeng GONG ¹
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1. 南京大学医学院附属金陵医院（东部战区总医院）普通外科，南京　210002
Publication Type:Journal Article
Keywords: Ulcerative colitis; Ileostomy; Ileal pouch-anal anastomosis; Stoma closure; Complications
From: Chinese Journal of Inflammatory Bowel Diseases 2025;09(6):456-461
CountryChina
Language:Chinese
Abstract: Objective:To investigate the impact of delayed ileostomy closure (>6 months) on postoperative complications in patients with ulcerative colitis (UC) undergoing ileal pouch-anal anastomosis (IPAA) .Methods:Using propensity score matching. Clinical data of UC patients who underwent IPAA and subsequent ileostomy closure at Jinling Hospital from January 2014 to December 2021 were retrospectively analyzed. Patients were categorized into a routine group (2 to ≤6 months) and a delayed group (>6 months) based on the timing of ileostomy closure. A 1∶1 propensity score matching analysis was performed to compare early (≤30 days) and late (>30 days) postoperative complications between the two groups.Results:A total of 225 UC patients who underwent IPAA and ileostomy closure were included, comprising 129 males (57.3%) and 96 females (42.7%). After propensity score matching, 88 patients were included in the analysis, with 44 patients in each group. There was no significant difference in the overall incidence of early postoperative complications (11.4% vs. 15.9%, P = 0.534) or late postoperative complications (43.2% vs. 43.2%, P = 1.000) between the delayed and routine groups. Additionally, no significant differences were observed in other postoperative complications (all P > 0.05) . Conclusion:Delayed ileostomy closure following IPAA does not significantly increase the risk of postoperative complications in UC patients.