Retrospective analysis of patients undergoing bowel transit reconstruction in a tertiary referral hospital of São Paulo's east side

• Autor(a) principal: Corrêa Neto,Isaac José Felippe
• Data de Publicação: 2014
• Outros Autores: Siá,Otávio Nunes, Lopes,Eduardo Augusto, Padilla,Rodrigo, Portugal,Katiucia Tereza Molezin, Rolim,Alexander Sá, Souza,Rogério Freitas Lino, Watté,Hugo Henriques, Robles,Laércio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632014000400198
• topic: Ostomy; Bowel transit reconstruction; Morbidity and mortality

Introduction:The morbidity and mortality of patients undergoing bowel transit reconstruction reach significant values. Perhaps this and other factors could explain why 30–60% of patients end up with definitive ostomies, even those with initially temporary ostomies, due to the procedure risks.Objective:To analyze retrospectively the medical records of patients undergoing bowel transit reconstruction in one of the SUS referral hospitals in São Paulo from October 2008 to December 2011.Results:The mean age of our patients was 53.9 years and 54% of those 100 patients studied between October 2008 and December 2011 had significant comorbidity. The indication for creating an initial ostomy was malignancy in 43%, and the mean stoma duration 14.3 months. The mortality rate was 6%.Conclusion:Although the bowel transit reconstruction is a procedure quite desired by patients, its indication should be carefully evaluated, with an appropriate consent from the patient.