This study was a single-center RCT study to compare the effect of preoperative prehabilitation treatment of ileostomy contents filtrate reinfusion through distal ileocolon or retention of enema colon with that of traditional treatment in patients with bowel function after stoma closure.
The patients in the experimental group collected the contents of the ileostomyand placed in a wide mouth container, mixed with 500mL normal temperature saline, and placed in a funnel with double layer medical gauze. The filtrate of the ileal contents was collected and placed into an enema for use. The catheter was placed into the ileal output end of the ostomy through anterograde enema or transanal retention enema, and slowly infused for 15-20 minutes, 2-3 times a day for 4 weeks. The adverse reactions such as abdominal pain, abdominal distension and fever were observed. The number, time, antegrade/retrograde prehabilitation operation, adverse reactions during the operation and other special conditions were recorded every day, and the weight of the patient was recorded.Patients in the control group received routine perioperative management.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
154
The contents of the ileostomy were collected and placed in a wide mouth container, mixed with 500mL normal temperature saline, and placed in a funnel with double layer medical gauze. The filtrate of the ileal contents was collected and placed into an enema for use. The catheter was placed into the ileal output end of the ostomy through anterograde enema or transanal retention enema, and slowly infused for 15-20 minutes, 2-3 times a day for 4 weeks. The adverse reactions such as abdominal pain, abdominal distension and fever were observed. The number, time, antegrade/retrograde prehabilitation operation, adverse reactions during the operation and other special conditions were recorded every day, and the weight of the patient was recorded
the Affiliated Hospital of Qingdao
Qingdao, Shandong, China
RECRUITINGThe extent of low anterior resection syndrome
low anterior resection syndrome score(0-42,Higher scores indicate more severe symptoms)
Time frame: 1 month after discharge, and 3, 6, and 12 months after surgery
the intestinal function recovery
The first postoperative exhaust and defecation time
Time frame: up to 10 days after surgery
Concentration of C-reactive protein
Concentration of C-reactive protein after surgery
Time frame: up to 10 days after surgery
Quality of Life Questionnaire Core 30
Quality of Life Questionnaire Core 30(0-100,standardscore,A higher score in the symptom domain indicates a worse quality of life)
Time frame: 1 month after discharge, and 3, 6, and 12 months after surgery
fecal incontinence
The Cleveland clinic fecal incontinence score(0-20,Higher scores indicate more severe symptoms)
Time frame: 1 month after discharge, and 3, 6, and 12 months after surgery
Weight change after rehabilitation
Weight change after rehabilitation
Time frame: From date of randomization until the date of stoma closure surgery, assessments usually take up to 3 months
The number of emergency visits or rehospitalizations related to stoma closure
The number of emergency visits or rehospitalizations related to stoma closure
Time frame: 1 year after surgery
the incidence of postoperative intestinal obstruction (POI)
the incidence of postoperative intestinal obstruction (POI)
Time frame: 1 year after surgery
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