Table 2.
Outcome of fecal diversion for different indications.
| Indication for fecal diversion | Patient number | Response to fecal diversion | Stoma reversal |
Success (no further surgical therapy required) |
Surgical therapy after stoma reversal | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Complete remission | Partial remission | No change | Progress | Colorectal resections | Definitive stoma | Resection of ileum | Surgery for perianal CD | ||||
| Perianal CD only | 12/29 (41.4%) | 3/12 (25.0%) | 4/12 (33.3%) | 4/12 (33.3%) | 1/12 (8.3%) | 8/10 (80.0%) | 1/10 (10.0%) | 4/8 (50.0%) | 2/8 (25.0%) | 0/8 (0.0%) | 3/8 (37.5%) |
| Colitis only | 6/29 (20.7%) | 0/6 (0.0%) | 3/6 (50.0%) | 0/6 (0.0%) | 3/6 (50.0%) | 3/6 (50.0%) | 0/6 (0.0%) | 2/3 (66.7%) | 3/3 (100.0%) | 2/3 (66.7%) | 1/3 (33.3%) |
| Ileitis only | 1/29 (3.4%) | 0/1 (0.0%) | 1/1 (100.0%) | 0/1 (0.0%) | 0/1 (0.0%) | 1/1 (100.0%) | 1/1 (100.0%) | 0/1 (0.0%) | 0/1 (0.0%) | 0/1 (0.0%) | 0/1 (0.0%) |
| Colitis + perianal CD | 7/29 (24.1%) | 1/7 (14.3%) | 3/7 (42.9%) | 1/7 (14.3%) | 2/7 (28.6%) | 5/6 (83.3%) | 2/6 (33.3%) | 3/5 (60.0%) | 2/5 (40.0%) | 0/5 (0.0%) | 1/5 (20.0%) |
| Ileitis + perianal CD | 2/29 (6.9%) | 0/2 (0.0%) | 1/2 (50.0%) | 1/2 (50.0%) | 0/2 (0.0%) | 1/1 (100.0%) | 0/1 (0.0%) | 0/1 (0.0%) | 0/1 (0.0%) | 1/1 (100.0%) | 0/1 (0.0%) |
| Colitis + ileitis + perianal CD | 1/29 (3.4%) | 0/1 (0.0%) | 0/1 (0.0%) | 1/1 (100.0%) | 0/1 (0.0%) | 1/1 (100.0%) | 0/1 (0.0%) | 1/1 (100.0%) | 0/1 (0.0%) | 0/1 (0.0%) | 0/1 (0.0%) |
| Total | 29 (100%) | 4/29 (13.8%) | 12/29 (41.4%) | 7/29 (24.1%) | 6/29 (20.7%) | 19/25 (76.0%)a | 4/25 (16.0%)b | 10/19 (52.6%)c | 7/19 (36.8%)c | 3/19 (15.8%)c | 5/19 (26.3%)c |
Indications (including combinations of indications) for stoma creation are listed. For each indication, response to diversion, rate of stoma reversal, and outcome are reported.
aDue to missing follow-up data of 4 patients, only 25 patients were available for the criterion “stoma reversal.”
bThe total success rate is related to all patients with sufficient follow-up (n = 25, including patients in whom the stoma was not reversed).
cThe sum of percentages of definitive surgical therapies exceeds 100%, as patients frequently had more than one type of surgery.
CD: Crohn's disease.