Ileostomy for chronic constipation: a good idea or just asking for more trouble?

George Davis; Keith Chapple; Steven R. Brown

doi:10.1111/codi.15509

journal article Feb 09, 2021

Ileostomy for chronic constipation: a good idea or just asking for more trouble?

George Davis

Keith Chapple

Steven R. Brown

Colorectal Disease Vol. 23 No. 6 pp. 1474-1479 · Wiley

View at Publisher Save 10.1111/codi.15509

Abstract

AbstractAimA defunctioning stoma may be an option for a small group of patients with chronic constipation who have exhausted all forms of conservative management and remain symptomatic. We investigated this group in terms of stoma‐related complications and whether they regretted the intervention.MethodsPatients presenting to Sheffield Teaching Hospitals Pelvic Floor Unit over a 7‐year period with chronic constipation unresponsive to conservative management and who had undergone a loop ileostomy for management were interviewed using the decision regret scale. Details about subsequent stoma‐related surgery were recorded.ResultsThirty‐seven of 38 female patients identified (median age 49 years, range 24–86) completed the decision regret scale. Median follow‐up was 34 months (range 7–74). About half (49%) had no regret and a further 27% had minimal regret about the decision for a stoma. Fifty‐five per cent of patients had further operations related to the stoma, some undergoing up to five operations.ConclusionA small group of patients with intractable constipation may benefit from a loop ileostomy but are likely to need subsequent surgery to the stoma. Despite this most patients who have had a stoma do not regret the decision.

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Citations

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References

Details

Published: Feb 09, 2021
Vol/Issue: 23(6)
Pages: 1474-1479
License: View

Authors

G

George Davis

Department of Colorectal Surgery Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK

K

Keith Chapple

Department of Colorectal Surgery Sheffield Teaching Hospitals NHS Foundation Trust Sheffield UK

S

Steven R. Brown

Department of Surgery Sheffield Teaching Hospitals NHS Foundation Trust and University of Sheffield Sheffield UK

Cite This Article

George Davis, Keith Chapple, Steven R. Brown (2021). Ileostomy for chronic constipation: a good idea or just asking for more trouble?. Colorectal Disease, 23(6), 1474-1479. https://doi.org/10.1111/codi.15509

Ileostomy for chronic constipation: a good idea or just asking for more trouble?

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