{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T02:08:34Z","timestamp":1782266914839,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,6,12]],"date-time":"2017-06-12T00:00:00Z","timestamp":1497225600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Small bowel obstruction (<jats:styled-content style=\"fixed-case\">SBO<\/jats:styled-content>) often occurs after total proctocolectomy and ileal pouch anal anastomosis with diverting loop\u2010ileostomy for ulcerative colitis. Little is known about the association between <jats:styled-content style=\"fixed-case\">SBO<\/jats:styled-content> and surgical procedures for diverting loop\u2010ileostomy. We conducted a multicenter, retrospective questionnaire survey. Unlinkable anonymized data on ileostomy procedures and ileostomy\u2010related complications including <jats:styled-content style=\"fixed-case\">SBO<\/jats:styled-content> were collected from institutions specializing in surgery for inflammatory bowel disease. In total, 515 patients undergoing total proctocolectomy and ileal pouch anal anastomosis with loop\u2010ileostomy among 1022 patients with ulcerative colitis undergoing surgery during a 3\u2010year period between 2012 and 2014 were analyzed. Twenty\u2010nine patients without information on complications were excluded. Incidence of ileostomy\u2010related complications and factors associated with the development of small bowel obstruction were determined in 486 patients. The most common complications were parastomal dermatitis (n=169, 34.8%), <jats:styled-content style=\"fixed-case\">SBO<\/jats:styled-content> (n=111, 22.8%), mucocutaneous dehiscence (n=59, 12.1%), stoma prolapse (n=21, 4.3%), parastomal hernia (n=12, 2.5%), and stoma retraction (n=11, 2.3%). Incidence of small bowel obstruction was significantly higher in patients with distance from the ileal pouch to the ileostomy of less than 30\u00a0cm and in patients undergoing laparoscopic surgery. Procedures for diverting loop\u2010ileostomy after surgery for ulcerative colitis varied among institutions. Incidence of small bowel obstruction was high after total proctocolectomy and ileal pouch anal anastomosis with diverting loop\u2010ileostomy. Shorter distance between the pouch and the stoma and the laparoscopic surgery were risk factors for <jats:styled-content style=\"fixed-case\">SBO<\/jats:styled-content> in univariate analysis.<\/jats:p>","DOI":"10.1002\/ags3.12017","type":"journal-article","created":{"date-parts":[[2017,6,12]],"date-time":"2017-06-12T06:36:37Z","timestamp":1497249397000},"page":"122-128","source":"Crossref","is-referenced-by-count":32,"title":["Risk factors of small bowel obstruction following total proctocolectomy and ileal pouch anal anastomosis with diverting loop\u2010ileostomy for ulcerative colitis"],"prefix":"10.1002","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0825-6823","authenticated-orcid":false,"given":"Tsunekazu","family":"Mizushima","sequence":"first","affiliation":[{"name":"Department of Therapeutics for Inflammatory Bowel Diseases Osaka University Graduate School of Medicine Suita Osaka 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riichiro","family":"Nezu","sequence":"additional","affiliation":[{"name":"Department of Surgery Nishinomiya Municipal Central Hospital Nishinomiya Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoi","family":"Uchino","sequence":"additional","affiliation":[{"name":"Department of Inflammatory Bowel Disease Hyogo College of Medicine Nishinomiya Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Sugita","sequence":"additional","affiliation":[{"name":"Inflammatory Bowel Disease Center Yokohama Municipal Citizen's Hospital Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kitaro","family":"Futami","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka University Chikushi Hospital Chikushino Fukuoka 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