Survey Regarding Gastrointestinal Stoma Construction and Closure in Japan

Yoshiko Ando, Arata Takahashi, Makoto Fujii, Hiroshi Hasegawa, Toshimoto Kimura, Hiroyuki Yamamoto, Tetsuya Tajima, Yukio Nishiguchi, Yoshihiro Kakeji, Hiroaki Miyata, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Aim: In Japan, the actual number of stoma constructions and stoma closures is not known. The aim of this study was to conduct a survey to determine the number of gastrointestinal stoma constructions and closures in Japan. Methods: Enrolled participants comprised patients undergoing selected gastrointestinal surgeries who were recorded in the National Clinical Database. This database uses the “Common Items for Gastrointestinal Surgeons.” These procedures were formulated by the Japanese Society of Gastroenterological Surgery during 2013–2018. Results: According to the National Clinical Database, a total of 154,323 gastrointestinal stomas were constructed between January 1, 2013 and December 31, 2018. By procedure, there were 78,723 cases of stoma construction, 39,653 of abdominoperineal resection, 2470 total pelvic exenteration procedures, and 33,572 Hartmann's procedures. The ratio of stoma closures to stoma constructions increased annually in patients under 70 y of age but not in older patients. Approximately 35% of total colectomies, 60% of proctocolectomies, and 20% of low anterior resections were accompanied by stoma construction. The number of patients with rectal cancer who underwent colostomy increased gradually during the study period and the number who underwent stoma construction increased among older patients. Conclusion: The number of cases of gastrointestinal stoma construction has increased gradually in Japan, and the proportion of older patients is increasing each year. The purposes and surgical techniques for stoma construction are diverse and are expected to increase in Japan, a super-aged society.

Original languageEnglish
Pages (from-to)212-226
Number of pages15
JournalAnnals of Gastroenterological Surgery
Volume6
Issue number2
DOIs
Publication statusPublished - 2022 Mar
Externally publishedYes

Keywords

  • colostomy
  • enterostomy
  • gastrointestinal stoma closure
  • gastrointestinal stoma construction
  • national clinical database
  • ostomy surgery

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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