{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:33:40Z","timestamp":1782218020286,"version":"3.54.5"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"published-print":{"date-parts":[[2008,6]]},"abstract":"<jats:p>PURPOSE: The controversy regarding whether loop ileostomy or loop transverse colostomy is a better method for temporary decompression of colorectal anastomosis motivated this review. METHODS: Five randomized trials were included, with 334 patients: 168 in the loop ileostomy group and 166 in the loop transverse colostomy group. The outcomes analyzed were: 1. Mortality; 2. Wound infection; 3. Time of stoma formation; 4. Time of stoma closure; 5. Time interval between stoma formation and closure; 6. Stoma prolapse; 7. Stoma retraction; 8. Parastomal hernia; 9. Parastomal fistula; 10. Stenosis; 11. Necrosis; 12. Skin irritation; 13. Ileus; 14. Bowel leakage; 15. Reoperation; 16. Patient adaptation; 17. Length of hospital stay; 18. Colorectal anastomotic dehiscence; 19. Incisional hernia; 20. Postoperative bowel obstruction. RESULTS: Stoma prolapse was statistically significant (p = 0.00001), but with statistical heterogeneity; the sensitive analysis was applied, excluding the trials that included emergency surgery, and this showed: p = 0.02, with I\u00b2 = 0% for the heterogeneity test. CONCLUSIONS: The outcomes reported were not statistically or clinically significant except for stoma prolapse. Better evidence for making the choice between loop ileostomy or loop colostomy requires large-scale randomized controlled trials.<\/jats:p>","DOI":"10.1590\/s0102-86502008000300014","type":"journal-article","created":{"date-parts":[[2008,6,12]],"date-time":"2008-06-12T04:13:02Z","timestamp":1213243982000},"page":"294-303","source":"Crossref","is-referenced-by-count":38,"title":["Ileostomy or colostomy for temporary decompression of colorectal anastomosis: systematic review and meta-analysis"],"prefix":"10.1590","volume":"23","author":[{"given":"Katia Ferreira","family":"G\u00fcenaga","sequence":"first","affiliation":[{"name":"Metropolitana University, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzana Ang\u00e9lica Silva","family":"Lustosa","sequence":"additional","affiliation":[{"name":"University Center of Volta Redonda, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarhan Sydney","family":"Saad","sequence":"additional","affiliation":[{"name":"Federal University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humberto","family":"Saconato","sequence":"additional","affiliation":[{"name":"Federal University of S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delcio","family":"Matos","sequence":"additional","affiliation":[{"name":"Federal University of S\u00e3o Paulo, Brazil; Metropolitana University of Santos; UNIFESP"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1002\/bjs.5054","article-title":"Impact of anastomotic leakage on long-term survival of patients undergoing curative resection for colorectal cancer","volume":"92","author":"McArdle CS","year":"2005","journal-title":"Br J 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