Analysis of the factors affecting the state of the rectal closure system in ostomy patients at the stages of surgical rehabilitation

Abstract

There are few publications in scientific literature devoted to the assessment of the rectal closure apparatus at the stages of surgical rehabilitation of ostomy patients. Aim of the study was to investigate the factors influencing the change in the functional activity of the rectal closure apparatus in patients with intestinal stomas. Material and methods. A single- center retrospective and prospective analysis of the results of changes in the function of the rectum closure system in 83 patients before and after reconstructive operation was performed. For the period from 2016 to 2018, 42 (50.6 %) men and 41 (49.4 %) women were examined, the average age in the group was 51.8 ± 12.6 years. Results and discussion. In all ostomy patients, anal sphincter incontinence was revealed. In this case, the relationship between the degree of impaired functional activity of the closure system of rectum, the duration of stoma wearing, and the age of the patient was determined. Conclusions. An analysis of the results allows us to evaluate the dynamics of the restoration of the function of the rectum closure apparatus and determine the optimal time for performing the restorative intervention from the standpoint of prophylaxis of dysfunction of the rectum closure system.

Keywords

• stoma
• anal sphincter incontinence
• restoration of intestinal continuity