Kitahara et al reported predictors for stoma outlet obstruction following colectomy in a patient with ulcerative colitis. These can help to identify a patient who may need more aggressive management following surgery. The authors are from Toho University in Chiba, Japan.
Patient selection: stoma creation in a patient with ulcerative colitis
Outcome: stoma stenosis
Predictors of stoma outlet obstruction:
(1) high daily stoma drainage volume (2,300 mL vs 1,690 mL)
(2) loop ileostomy (OR 6.4)
Predictor of recurrence following conservative therapy:
(3) thick rectus abdominis muscle (12.7 mm vs 9.3 mm; OR 2.7)
The risk of stoma outlet obstruction increases with the number of predictors present.
To read more or access our algorithms and calculators, please log in or register.
