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dc.contributor.authorDimitriou, N
dc.contributor.authorPanteleimonitis, S
dc.contributor.authorDhillon, A
dc.contributor.authorBoyle, K
dc.contributor.authorNorwood, M
dc.contributor.authorHemingway, D
dc.contributor.authorYeung, J
dc.contributor.authorMiller, A
dc.date.accessioned2020-12-09T23:35:02Z
dc.date.available2020-12-09T23:35:02Z
dc.date.issued2015-12-04
dc.identifierpii: 10.1186/s12957-015-0742-z
dc.identifier.citationDimitriou, N., Panteleimonitis, S., Dhillon, A., Boyle, K., Norwood, M., Hemingway, D., Yeung, J. & Miller, A. (2015). Is the routine use of a water-soluble contrast enema prior to closure of a loop ileostomy necessary? A review of a single institution experience.. World J Surg Oncol, 13 (1), pp.331-. https://doi.org/10.1186/s12957-015-0742-z.
dc.identifier.issn1477-7819
dc.identifier.urihttp://hdl.handle.net/11343/253267
dc.description.abstractBACKGROUND: The aims of the study were to determine the radiological leak rate in those patients who had undergone a resection for left-sided colorectal cancer and to see if the presence of a leak can be related with the postoperative clinical period. We also aimed to identify any common factors between patients with leak. METHODS: A retrospective analysis of prospectively collected data of all patients who underwent a left-sided colorectal cancer resection with formation of a defunctioning ileostomy was undertaken. Between 2005 and 2010, 418 such patients were identified. RESULTS: A water-soluble contrast enema was performed in 339 patients (81.1 %). Of these, 24 (7.1 %) were reported to show an anastomotic leak. Data for these 24 patients is presented in this study. Twenty-three (95.8 %) of the leaks occurred in patients who had undergone an anterior resection; 95.8 % of the patients with a leak were male. Fifteen (62.5 %) patients underwent neo-adjuvant radiation. The mean length of stay in those patients shown to have a subsequent radiological leak was 18.8 days (median), compared with the overall unit figures of 12 days. Only 29.2 % of the patients who had a leak identified had an uncomplicated postoperative period. Overall 87.5 % of the patients had a reversal of the ileostomy. CONCLUSIONS: Radiological leakage is not uncommon. The majority of patients, who were shown to have a radiological leak in this study, were male, had undergone an anterior resection, had received neo-adjuvant radiation, had a longer initial length of stay and had postoperative complications. Water-soluble contrast enemas could be selectively used in patients with these characteristics.
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleIs the routine use of a water-soluble contrast enema prior to closure of a loop ileostomy necessary? A review of a single institution experience.
dc.typeJournal Article
dc.identifier.doi10.1186/s12957-015-0742-z
melbourne.affiliation.departmentSurgery (Western Health)
melbourne.source.titleWorld Journal of Surgical Oncology
melbourne.source.volume13
melbourne.source.issue1
melbourne.source.pages331-
dc.rights.licenseCC BY
melbourne.elementsid1355908
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670542
melbourne.contributor.authorYeung, Justin
dc.identifier.eissn1477-7819
melbourne.accessrightsOpen Access


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