Stoma Tube Decompression and Postoperative Ileus After Major Colorectal Surgery
| Status: | Terminated |
|---|---|
| Conditions: | Gastrointestinal, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | July 2013 |
| End Date: | July 2014 |
Postoperative ileus is common after colorectal surgery, occurring in up to 20% of patients.
Stomas are frequently created in conjunction with major colorectal surgery. Obstruction at
the level of the stoma is a common cause of bowel obstruction or ileus. This is often
manifested by decrease or delay in stoma output and is often attributed to edema at the level
of the stoma. Thus, a temporary tube (red robinson catheter) is placed into the stoma at
bedside, which often relieves the obstruction until the edema at the level of the stoma
resolves and stoma function occurs around the temporary tube. At this time, the tube is
removed and the stoma continues to function normally.
The purpose of this study is to evaluate whether a stoma tube (red-robinson catheter) placed
at the time of stoma creation would reduce the incidence of postoperative ileus in patients
undergoing major colorectal surgery with creation of a stoma.
Stomas are frequently created in conjunction with major colorectal surgery. Obstruction at
the level of the stoma is a common cause of bowel obstruction or ileus. This is often
manifested by decrease or delay in stoma output and is often attributed to edema at the level
of the stoma. Thus, a temporary tube (red robinson catheter) is placed into the stoma at
bedside, which often relieves the obstruction until the edema at the level of the stoma
resolves and stoma function occurs around the temporary tube. At this time, the tube is
removed and the stoma continues to function normally.
The purpose of this study is to evaluate whether a stoma tube (red-robinson catheter) placed
at the time of stoma creation would reduce the incidence of postoperative ileus in patients
undergoing major colorectal surgery with creation of a stoma.
Inclusion Criteria:
1. Able to freely give written informed consent to participate in the study and have
signed the Informed Consent Form;
2. Males or females, 18> years of age and older inclusive at the time of study screening;
3. American Society of Anesthesiologists (ASA) Class I-III (Appendix III);
4. Due to undergo ileostomy or colostomy creation via laparotomy or laparoscopy;
Exclusion Criteria:
1. Mentally incompetent or unable or unwilling to provide informed consent or comply with
study procedures;
2. American Society of Anesthesiologists (ASA) Class IV or V;
3. Children <18 years
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