P-3 ; The Nutritional Impact of Diverting Stoma-Related Complications in Elderly Rectal Cancer Patients = P-3 ; The Nutritional Impact of Diverting Stoma-Related Complications in Elderly Rectal Cancer Patients

다국어 초록 (Multilingual Abstract)

Background: Diverting stomas following rectal cancer surgery can affect patients` quality of life, and any complications associated with the formation or closure of a diverting stoma may negatively affect patients` long-term outcomes and quality of life. Objective: The purpose of this study is to investigate the relationship between diverting stoma-related complications and nutritional status. Methods: In a retrospective study of 124 patients aged 65 years and older who underwent diverting stoma following rectal cancer surgery between June 2004 and March 2011, we analyzed diverting stoma-related complications and nutrition status for the following time periods: before stoma construction; before stoma closure; and after stoma closure. Results: Complications related to the diverting stoma developed in 26 (20.9%) patients, consisting of 8 high output renal failures, 9 adhesive ileus, 4 parastomal hernias, 1 stoma perforation, and 4 prolapses. Complications related to stoma closure developed in 12 (9.7%) patients, consisting of 10 adhesive ileus, 1 wound infection, 1 incisional hernia, and 1 anastomosis site leakage. Nutritional screening performed prior to stoma closure showed that patients who experienced stoma formation-related complications had lower albumin levels (p=0.019), lower total lymphocytes (p=0.008), and lower BMI level (p=0.042). Body weight loss was more severe in patients with stoma-related complication (p=0.031). Conclusions: Diverting stoma-related complications may affect patient`s nutritional status. Stoma closure operation and proper nutritional support may be important for avoiding complications and improving patients` long-term outcomes and quality of life.