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The aim of this study is to investigate if day-case closure of ileostomy is feasible and safe.
For all patients that match the inclusion criteria a registration-protocol is completed. Then the patients are operated and a surgery-protocol is completed. The patients are observed for maximum 24 h and discharged if they meet the discharge-criteria. 30 days post-operative the investigators do a follow-up of complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rectal cancer patients with ileostoma | In association with anterior resection of rectal cancer these patients obtain loop-ileostoma in order to avoid complications. These are closed within a few months and according to previous studies the admission time is 3-5 days after operation. This study is a single-arm study. The arm include patients having had rectal cancer operation and who have obtained a loop-ileostoma and that meet the inclusion criteria. The operation procedure is standardized; shortly described by dissecting the ileostoma from the abdominal wall and everting the stoma ledges, which will be sutured or stapled. The patients will be observed for 23 hours, and if there are no contraindications according to described criteria the patient can be discharged form the hospital, however all patients will be followed up. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ileostoma closure | Procedure | The operation procedure is standardized as described above (see group description).The patients will be observed for 23 hours, and if there are no contraindications according to described criteria the patient can be discharged form the hospital, however all patients will have follow-up telephone contact on a daily basis with a nurse for the first week. Patients will meet the surgeon 3 days after discharge and after 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with complications | 30 days | |
| Number of patients re-admitted | 30 days | |
| Number of patients re-operated | 30 days | |
| Number of patients who were able to return home after day-case closure of loop-ileostomy | 24 houres |
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Inclusion Criteria:
Exclusion Criteria:
Discharge criteria:
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Patients earlier operated at the local hospital, who are now planned for closure of ileostomy
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| Name | Affiliation | Role |
|---|---|---|
| Abbas Chabok, Phd, MD | Centrum for Clinical Research Västerås/Uppsala University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Landstinget Västmanland,Centrum för klinisk forskning | Västerås | 72189 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34224302 | Derived | Afshari K, Nikberg M, Smedh K, Chabok A. Loop-ileostomy reversal in a 23-h stay setting is safe with high patient satisfaction. Scand J Gastroenterol. 2021 Sep;56(9):1126-1130. doi: 10.1080/00365521.2021.1947367. Epub 2021 Jul 5. |
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