Incidence and predictors of postoperative ileus after loop ileostomy closure: a systematic review and meta-analysis.
Ileostomy
Postoperative ileus
Postoperative morbidity
Stoma closure
Systematic review
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
14
12
2018
accepted:
09
04
2019
pubmed:
26
4
2019
medline:
28
4
2020
entrez:
26
4
2019
Statut:
ppublish
Résumé
Postoperative ileus (POI) is regarded as the most clinically significant morbidity following loop ileostomy closure; however, its incidence remains poorly understood. Our objective was therefore to determine the pooled incidence of POI after loop ileostomy closure and identify risk factors associated with its development. We systematically searched MEDLINE (via Ovid and PubMed), Embase, the Cochrane Library, Biosis Previews, and Scopus to identify studies reporting the incidence of POI in patients who underwent loop ileostomy closure. Two independent reviewers extracted data and appraised study quality. Cumulative incidence proportions were pooled across studies using a random-effects meta-analytic model. Sixty-seven studies, including 9528 patients, met our inclusion criteria. The pooled estimate of POI was 8.0% (95% CI 6.9-9.3%; I POI is an important complication after loop ileostomy closure, and its incidence is dependent on its definition. More research aimed at studying this complication is required to better understand risk factors for POI after loop ileostomy closure.
Identifiants
pubmed: 31020433
doi: 10.1007/s00464-019-06794-y
pii: 10.1007/s00464-019-06794-y
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2430-2443Subventions
Organisme : CIHR
Pays : Canada
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