{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T12:56:33Z","timestamp":1710939393744},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: avaliar os fatores associados ao n\u00e3o fechamento de ileostomia protetora ap\u00f3s ressec\u00e7\u00e3o anterior do reto com excis\u00e3o total do mesorreto por c\u00e2ncer retal, a morbidade associada ao fechamento destas ileostomias e a taxa de estomia permanente em pacientes com adenocarcinoma retal.  M\u00e9todos: estudo retrospectivo de 174 pacientes consecutivos com diagn\u00f3stico de tumores retais, dos quais 92 foram submetidos \u00e0 ressec\u00e7\u00e3o anterior do reto com inten\u00e7\u00e3o curativa, anastomose coloanal ou colorretal e ileostomia de prote\u00e7\u00e3o. Foi realizada an\u00e1lise multivariada visando a determinar os fatores associados \u00e0 perman\u00eancia definitiva da estomia, assim como o estudo da morbidade nos que se submeteram \u00e0 reconstru\u00e7\u00e3o do tr\u00e2nsito.  Resultados: no per\u00edodo de seguimento de 84 meses, 54 dos 92 pacientes avaliados (58,7%) tiveram a ileostomia fechada e 38 (41,3%) permaneceram com a estomia. Entre os 62 pacientes que tiveram a ileostomia fechada, 11 (17,7%) apresentaram algum tipo de complica\u00e7\u00e3o p\u00f3s-operat\u00f3ria: tr\u00eas com deisc\u00eancia de anastomose ileal, cinco com obstru\u00e7\u00e3o intestinal, dois com infec\u00e7\u00e3o de ferida operat\u00f3ria e um com pneumonia. Oito destes pacientes necessitaram de um novo estoma.  Conclus\u00e3o: de acordo com a an\u00e1lise multivariada, os fatores associados \u00e0 perman\u00eancia da estomia foram f\u00edstula de anastomose, presen\u00e7a de met\u00e1stases e fechamento da ileostomia durante quimioterapia.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181998","type":"journal-article","created":{"date-parts":[[2019,1,5]],"date-time":"2019-01-05T13:01:09Z","timestamp":1546693269000},"source":"Crossref","is-referenced-by-count":4,"title":["Fatores associados a n\u00e3o reconstru\u00e7\u00e3o do tr\u00e2nsito intestinal em pacientes com c\u00e2ncer retal submetidos \u00e0 ressec\u00e7\u00e3o anterior do reto e ileostomia de prote\u00e7\u00e3o."],"prefix":"10.1590","volume":"45","author":[{"given":"Leonardo Maciel","family":"da-Fonseca","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly Cristine de Lacerda Rodrigues","family":"Buzatti","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00edsa Lima","family":"Castro","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio","family":"Lacerda Filho","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Isabel Toulson Davisson","family":"Correia","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Gomes","family":"da-Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019,1,7]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1615\/CritRevOncog.v17.i4.60","article-title":"Current status of surgical intervention for the management of rectal cancer","volume":"17","author":"Olson C","year":"2012","journal-title":"Crit Rev Oncog"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s00268-010-0831-7","article-title":"Risk factors and outcomes for anastomotic leakage in colorectal surgery: a single-institution analysis of 1576 patients","volume":"35","author":"Boccola MA","year":"2011","journal-title":"World J Surg"},{"issue":"86-87","key":"ref3","first-page":"1562","article-title":"Defunctioning loop ileostomy with low anterior resection for distal rectal cancer: should we make an ileostomy as a routine procedure? 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