Diverting Ileostomy Duration Is the Main Determinant of Ileostomy-Related Complications after Surgical Treatment of Rectum Cancer

Table 2

Comparison of complication frequencies by the duration of ileostomy.

Complication	<3 months n = 41	3–6 months n = 20	>6 months n = 72
Complications during ileostomy
Ileostomy site related
Stomal stenosis/obstruction	0	0	11 (15.3%)	0.006
Retraction	1 (2.4%)	1 (5.0%)	9 (12.5%)	0.148
Skin irritation	5 (12.2%)	3 (15.0%)	19 (26.4%)	0.160
Ischemia	1 (2.4%)	0	18 (25.0%)	0.001
Parastomal infection	0	1 (5.0%)	20 (27.8%)	<0.001
Parastomal hernia/prolapsus	0	2 (10.0%)	5 (6.9%)	0.166
Any ileostomy site-related complication	7 (17.1%)	7 (35.0%)	44 (61.1%)	<0.001
Distant anastomosis related
Leakage at colorectal anastomosis	1 (2.4%)	2 (10%)	9 (12.5%)	0.197
Stenosis of colorectal anastomosis	1 (2.4%)	1 (5.0%)	14 (19.4%)	0.016
Intra-abdominal abscess (pelvic)	1 (2.4%)	3 (15.0%)	14 (19.4%)	0.039
Any distal anastomosis-related complication	2 (4.9%)	4 (20.0%)	27 (37.5%)	<0.001
Metabolic
Acute renal failure	1 (2.4%)	1 (5.0%)	7 (9.7%)	0.315
Hypokalemia/hyponatremia	0	3 (15.0%)	8 (11.1%)	0.059
Any metabolic complication	1 (2.4%)	4 (20.0%)	14 (19.4%)	0.033
Any complication during ileostomy	10 (24.4%)	11 (55.0%)	57 (79.2%)	<0.001
Complications after ileostomy closure
Obstruction (ileostomy anastomosis)	5 (12.2%)	2 (10%)	16 (22.2%)	0.258
Leakage at ileostomy	0	1 (5.0%)	7 (9.7%)	0.110
Stoma site infection	1 (2.4%)	3 (15.0%)	20 (27.8%)	0.003
Reoperation	2 (4.9%)	1 (5.0%)	6 (8.3%)	0.737
Intra-abdominal abscess (ileostomy related)	0	1 (5.0%)	9 (12.5%)	0.048
Diarrhea	3 (7.3%)	5 (25.0%)	10 (13.9%)	0.165
Any complication after ileostomy closure	11 (26.8%)	10 (50.0%)	45 (62.5%)	0.001