Hizbullah Jan, Att Aullah Khan, Tahir Saeed, Mah Muneer Khan.
Complications following illeostomy closure: an evaluation of the causal factors.
Pak J Surg Jan ;28(3):177-81.

Objectives: To evaluate the causal factors for complications of illeostomy reversal. Study design: An observational study. Setting and duration: Surgical “E” Unit Khyber Teaching Hospital, Peshawar from August 2006 to July 2007. Methodology: This study included 46 consecutive patients who underwent illeostomy reversal over a one year period. We excluded patients younger than 12 years, patients undergoing closure within 6 weeks and patients with an additional, unrelated surgical intervention. Follow-up was done for all patients at weekly intervals for one month. The occurrence of surgery-related complications within 30 days of reversal was the main outcome measure. Results: A series of 46 illeostomy closures was analyzed to evaluate factors contributing to morbidity and mortality. There were no deaths, but there was a 10.9 percent complication rate (5 patients) with wound infection (4.35%) and anastomotic leakage (4.35%) and illeus (2.17%) being the most frequent complications. The signifi cant factors contributing to complications were primary closure of the stoma site, anastomotic site closure technique, type of stoma and surgeon`s experience. Conclusion: We concluded that illeostomy closure is associated with few complications but no mortality. Anastomotic site closure techniques, type of stoma, surgeon experience and skin closure technique were the predictors of complications.

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