Outcome Of Loop Ileostomy Reversal: A Prospective Study

Abstract

OBJECTIVE: To evaluate the outcome of loop ileostomy reversal in terms of hospital stay, morbidity, and mortality in our set up.

METHODOLOGY: This descriptive observational study was conducted on 261 patients, in the Surgical “B” Unit of Khyber Teaching Hospital, Peshawar from January 2010 to June 2012, by using a convenient samplingtechnique. Data was collected on a predesigned proforma and analyzed by SPSS version 17.0.

RESULTS: Out of the total 261 patients, 185 (70.88%) were males and 76 (29.12%) were females. The age range was from 15 to 58 years with a mean age of 29.74+8.59 years. The duration of surgery was 23 to 47 minutes with a mean duration of 32+5.43 minutes. The mean stay of the patients after the surgery was 6+2 days ranging from 4 to 12 days. The morbidity rate was 11.11% (n=29/261) and no mortality was observed in the series. The commonest complication was surgical site infection in 17 (6.51%) patients, followed by post operative ileus in 10 (3.83%) patients, small bowel obstruction in 1 (0.38%) patient and anastomotic leakage in 1 (0.38%) patient.

CONCLUSION: Reversal of loop ileostomy is a safe procedure having good outcome in terms of low morbidity, mortality and hospital stay.

KEY WORDS: Loop ileostomy, reversal of ileostomy, small bowel obstruction,surgical site infection, anastomotic leak, intestinal anastomosis, postoperative ileus.