Early Closure of a Temporary Ileostomy in Patients With Rectal Cancer
The objective was to study morbidity and mortality associated with early closure (8–13 days) of a temporary stoma compared with standard procedure (closure after > 12 weeks) after rectal resection for cancer.
A temporary ileostomy may reduce the risk of pelvic sepsis after anastomotic dehiscence. However, the temporary ileostomy is afflicted with complications and requires a second surgical procedure (closure) with its own complications. Early closure of the temporary ileostomy could reduce complications for rectal cancer patients.
Early closure (8–13 days after stoma creation) of a temporary ileostomy was compared with late closure (>12 weeks) in a multicenter randomized controlled trial, EASY (
The trial included 127 patients in eight Danish and Swedish surgical departments, and 112 patients were available for analysis. The mean number of complications after index surgery up to 12 months follow up was significantly lower in the intervention group (1.2) compared with the control group (2.9), P < 0.0001.
It is safe to close a temporary ileostomy 8 to 13 days after rectal resection and anastomosis for rectal cancer in selected patients without clinical or radiological signs of anastomotic leakage.
Document Type: Research Article
Affiliations: 1: Department of Gatroenterology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev Ringvej, Herlev, Denmark 2: 3: Department of Surgery, Nordsjællands Hospital, Denmark 4: Department of Surgery, Skaraborgs Sjukhus Skovde, Sweden.
Publication date: February 1, 2017