TPTh 8.02 Decreasing The Time to Loop Ileostomy Reversal - The Key Step

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ID: 323897
2026
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Abstract
Abstract Aim Timely reversal of loop ileostomies minimises stoma related morbidity and improves post-operative outcomes. There are several steps in the patient pathway which may cause increased time to reversal. We looked into each step within the pathway to identify causes of delay and suggest systemic changes which could be made improve timeliness of reversal. Methods Retrospective study of patients who received anterior resections for rectal cancer with formation of loop ileostomies in one Welsh trust over 2022-2024. Days between aspects of the patient pathway were reviewed and regression analysis was used to assess factors associated with increased time to reversal. Results 57 of the 68 eligible patients had undergone reversal by the time of data collection with a median time to reversal of 331 days (IQR 225). Cumulative incidence at 6 months was 15.8%, 56.1% at 12 months and 88.8% at 18 months. Neoadjuvant chemotherapy was not associated with increased time to reversal (AR 1.03, CI: 0.82-1.29). Each 30-day delay to water-soluble contrast enema (WSCE) was associated with an 11% delay to reversal (AR 1.11, CI: 1.06-1.16). Median time to WSCE was 126 days (IQR 117) with most surgeons (61%) requesting WSCE following initial clinic appointment. Median time to clinic was 67 days (IQR 63) and once requested, median time to WSCE was 41 days (IQR 70). Conclusion The timing of WSCE was associated with a delay to reversal. Requesting WSCE on discharge, dated for 30 days post-op, may be a simple way to decrease time to reversal.
Reference Key
openalex_W7172501405 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors O. Nix, Keshav Swarnkar
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.504
URL
https://doi.org/10.1093/bjs/znag087.504
Keywords Keywords not found

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