Intervenciones de Enfermería en la reversión del estoma intestinal: revisión integrativa
DOI:
https://doi.org/10.15649/cuidarte.2165Palabras clave:
Cierre de estoma, Reversión de Estoma, Ileostomía, Colostomía, EnfermeríaResumen
Introducción: los estomas intestinales representan un impacto significativo en la calidad de vida de las personas; sin embargo, estos deben revertirse después de haberse restituido el tránsito intestinal o la resolución del proceso inflamatorio inicial. Por otro lado, la negación de la persona para su reversión puede deberse a la falta de información y orientación por parte de los profesionales de la salud. Por lo anterior es importante identificar las intervenciones de Enfermería en la atención de la persona con reversión del estoma intestinal. Materiales y métodos: se realizó una revisión integrativa de la literatura de alcance descriptivo en el período comprendido entre los años 2015 a 2020, a través de las bases de datos Wos, Pubmed, Scopus, Scielo y Cochrane. Se seleccionaron 36 artículos que cumplieron con los criterios de inclusión y exclusión con el respectivo análisis metodológico. Resultados: Se identificaron las siguientes intervenciones de Enfermería, para el preoperatorio: valoración preoperatoria, preparación intestinal y seguimiento a comorbilidades. El intraoperatorio: profilaxis, preparación de la piel, técnica quirúrgica y cierre de la pared abdominal. En el posoperatorio: cuidado de la herida quirúrgica, calidad de vida y educación. Discusión: es importante la reflexión sobre el tiempo de reversión, la técnica quirúrgica y la importancia de las intervenciones por Enfermería. Conclusión: Enfermería cumple un papel importante en la reversión del estoma, no solo por los cuidados físicos y la educación que se brinda, sino también en las intervenciones aplicables al contexto social y emocional que afectan el estilo de vida de la persona.
Como citar este artículo: Gómez Barriga Norma Yaneth, Medina Garzón Mauricio. Intervenciones de Enfermería en la reversión del estoma intestinal: revisión integrativa. Revista Cuidarte. 2022;13(1):e2165. http://dx.doi.org/10.15649/cuidarte.2165
Referencias
Hendren S, Hammond K, Glasgow SC, Perry WB, Buie WD, Steele SR, et al. Clinical practice guidelines for ostomy surgery. Dis Colon Rectum. 2015 Apr;58(4):375–87. https://doi.org/10.1097/dcr.0000000000000347
Pine J, Stevenson L, On J. Intestinal stomas. Surg - Oxford Int Ed . 2020 Jan 1;38(1):51-7. https://doi.org/10.1016/j.mpsur.2019.10.020
Iqbal F, Kujan O, Bowley DM, Keighley MRB, Vaizey CJ. Quality of Life After Ostomy Surgery in Muslim Patients: A Systematic Review of the Literature and Suggestions for Clinical Practice. J Wound Ostomy Cont Nurs. 2016;43(4):385-41.
https://doi.org/10.1097/won.0000000000000235
Fazekas B, Fazekas B, Hendricks J, Smart N, Arulampalam T. The incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection. Ann R Coll Surg Engl. 2017 Apr;99(4):319–24. https://doi.org/10.1308/rcsann.2016.0347
Yin T-C, Tsai H-L, Yang P-F, Su W-C, Ma C-J, Huang C-W, et al. Early closure of defunctioning stoma increases complications related to stoma closure after concurrent chemoradiotherapy and low anterior resection in patients with rectal cancer. World J Surg Oncol. 2017 Apr;15(1):80. https://doi.org/10.1186/s12957-017-1149-9
Waterland P, Goonetilleke K, Naumann DN, Sutcliff M, Soliman F. Defunctioning Ileostomy Reversal Rates and Reasons for Delayed Reversal: Does Delay Impact on Complications of Ileostomy Reversal? A Study of 170 Defunctioning Ileostomies. J Clin Med Res.2015 Sep;7(9):685–9. https://dx.doi.org/10.14740%2Fjocmr2150w
Sparreboom CL, Wu Z-Q, Ji J-F, Lange JF. Integrated approach to colorectal anastomotic leakage: Communication, infection and healing disturbances. World J Gastroenterol. 2016 Aug;22(32):7226–35. https://dx.doi.org/10.3748%2Fwjg.v22.i32.7226
Sousa MJ de, Andrade SS da C, Brito KKG de, Matos SD de O, Coêlho HFC, Oliveira SH dos S. Sociodemographic and clinical features and quality of life in stomized patients. Journal of Coloproctology. 2016; 36:27–33. https://doi.org/10.1016/j.jcol.2015.12.005
Ye, X., He, D., Zhao, J., Lei, Y., Yao, Q., Wang H. Application value of nursing intervention combined with early nutritional support in preventive stoma reversion of low rectal cancer. Oncol Lett. 2019;17.4:3777–82. https://doi.org/10.3892/ol.2019.10055
Whittemore R. Combining evidence in nursing research: methods and implications. Nurs Res. 2005;54(1):56–62. https://doi.org/10.1097/00006199-200501000-00008
Mongelard K, Mynster T, Jensen KK. Stoma-site hernia after stoma reversal following rectal cancer resection. Dan Med J. 2020 Mar;67(3). Available from: https://pubmed.ncbi.nlm.nih.gov/32138828/
Guo Y, Luo Y, Zhao H, Bai L, Li J, Li L. Early Versus Routine Stoma Closure in Patients With Colorectal Resection: A Meta-Analysis of 7 Randomized Controlled Trials. Surg Innov. 2020;27(3):291–8. https://doi.org/10.1177/1553350620907812
Kitaguchi D, Nishizawa Y, Sasaki T, Tsukada Y, Ikeda K, Ito M. Recurrence of rectal anastomotic leakage following stoma closure: assessment of risk factors. Colorectal Disease. 2019 ;21(11):1304–11. https://doi.org/10.1111/codi.14728
Van den Hil LCL, Van Steensel S, Schreinemacher MHF, Bouvy ND. Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis. Hernia. 2019 ;23(4):733–41. https://doi.org/10.1007/s10029-019-01996-8
Krebs B, Ivanecz A, Potrc S, Horvat M. Factors affecting the morbidity and mortality of diverting stoma closure: retrospective cohort analysis of twelve-year period. Radiol Oncol. 2019;53(3):331–6. https://dx.doi.org/10.2478%2Fraon-2019-0037
Pemmaraju VT, Lansing SS, Husain S. A protocol for skin closure after stoma reversal. Tech Coloproctol. 2020;24(3):255–7. https://doi.org/10.1007/s10151-019-02033-7
Rausa E, Kelly ME, Sgroi G, Lazzari V, Aiolfi A, Cavalcoli F, et al. Quality of life following ostomy reversal with purse-string vs linear skin closure: a systematic review. Int J Colorectal Dis. 2019;34(2):209–16. https://doi.org/10.1007/s00384-018-3219-z
Hajibandeh S, Hajibandeh S, Rehman S, Zadeh RA. Purse-string skin closure versus linear skin closure techniques in stoma closure: a meta-analysis with trial sequential analysis of randomised trials. Br J Surg.2019;106:26. https://doi.org/10.1007/s00384-018-3139-y
Rondelli F, Franco L, Balzarotti RC, Ceccarelli G, Becattini C, Bugiantella W. Purse-string closure versus conventional primary closure of wound following stoma reversal: Meta-analysis of randomized controlled trials. Int J Surg. 2018: 52:208–13. https://doi.org/10.1016/j.ijsu.2018.02.027
Amano K, Ishida H, Kumamoto K, Okada N, Hatano S, Chika N, et al. Purse-string approximation vs. primary closure with a drain for stoma reversal surgery: results of a randomized clinical trial. Surg Today. 2019;49(3):231‐237. https://doi.org/10.1007/s00595-018-1729-5
Sherman KL, Wexner SD. Considerations in Stoma Reversal. Clin Colon Rectal Surg. 2017;30(3):172–7. https://dx.doi.org/10.1055%2Fs-0037-1598157
Reinwalds M, Blixter A, Carlsson E. A Descriptive, Qualitative Study to Assess Patient Experiences Following Stoma Reversal After Rectal Cancer Surgery. Ostomy Wound Manage. 2017;63(12):29–37. https://pubmed.ncbi.nlm.nih.gov/29324431/
Herrle F, Sandra-Petrescu F, Weiss C, Post S, Runkel N, Kienle P. Quality of Life and Timing of Stoma Closure in Patients With Rectal Cancer Undergoing Low Anterior Resection With Diverting Stoma: A Multicenter Longitudinal Observational Study. Dis Colon Rectum. 2016;59(4):281–90. https://doi.org/10.1097/DCR.0000000000000545
Kuryba AJ, Scott NA, Hill J, van der Meulen JH, Walker K. Determinants of stoma reversal in rectal cancer patients who had an anterior resection between 2009 and 2012 in the English National Health Service. Colorectal Disease. 2016;18(6): O199-205. https://doi.org/10.1111/codi.13339
Figueiredo MN, Mège D, Maggiori L, Ferron M, Panis Y. When is the best time for temporary stoma closure in laparoscopic sphincter-saving surgery for rectal cancer? A study of 259 consecutive patients. Tech Coloproctol. 2015;19(8):469–74. https://doi.org/10.1007/s10151-015-1328-z
Gröne, J. Tiempo y técnica de reubicación de la ostomía, teniendo en cuenta las complicaciones de la ostomía anteriores y posteriores. Coloproctología.2019; 41, 338-343. https://doi.org/10.1007/s00053-019-00401-3
Neumann P-A, Reischl S, Berg F, Jäger C, Friess H, Reim D, et al. Meta-analysis and single-center experience on the protective effect of negative suction drains on wound healing after stoma reversal. Int J Colorectal Dis. 2020; 35(3):403–11. https://doi.org/10.1007/s00384-019-03492-y
Taylor JP, Stem M, Chen SY, Yu D, Fang SH, Gearhart SL, et al. The Safety of Outpatient Stoma Closure: ¿on the Verge of a Paradigm Shift? J Gastrointest Surg. 2019; 23(10):2019–26. https://doi.org/10.1007/s11605-018-4001-9
Goret NE, Goret CC, Cetin K, Agachan AF. Evaluation of risk factors for complications after colostomy closure. Ann Ital Chir. 2019; 90:324–9. https://pubmed.ncbi.nlm.nih.gov/31144673/
Sureshkumar S, Jubel K, Ali MS, Vijayakumar C, Amaranathan A, Sundaramoorthy S, et al. Comparing Surgical Site Infection and Scar Cosmesis Between Conventional Linear Skin Closure Versus Purse-string Skin Closure in Stoma Reversal - A Randomized Controlled Trial. Cureus. 2018 ;10(2): e2181. https://dx.doi.org/10.7759%2Fcureus.2181
Garfinkle R, Trabulsi N, Morin N, Phang T, Liberman S, Feldman L, et al. Study protocol evaluating the use of bowel stimulation before loop ileostomy closure to reduce postoperative ileus: a multicenter randomized controlled trial. Color Dis Off J Assoc Coloproctology Gt Britain Irel. 2017;19(11):1024–9. https://doi.org/10.1111/codi.13720
Yin TC, Tsai HL, Yang PF, Su WC, Ma CJ, Huang CW, et al. El cierre temprano del estoma disfuncional aumenta las complicaciones relacionadas con el cierre del estoma después de la quimiorradioterapia concurrente y la resección anterior baja en pacientes con cáncer de recto. World J Surg Onc. 2017; 15, 80. https://doi.org/10.1186/s12957-017-1149-9
Fonseca AZ, Uramoto E, Santos-Rosa OM, Santin S, Ribeiro MJ. Colostomy closure: risk factors for complications. Arq Bras Cir Dig. 2017;30(4):231–4. https://doi.org/10.1590/0102-6720201700040001
Khan S, Alvi R, Awan Z, Haroon N. Morbidity of colostomy reversal. J Pak Med Assoc. 2016;66 (9):1081–3. https://pubmed.ncbi.nlm.nih.gov/27654724/
Sumner D, Collins B. The Watford low anterior resection syndrome pathway for pre- And post-stoma reversal patients. Gastrointest Nurs. 2019;17(7):43–8. https://doi.org/10.12968/gasn.2019.17.7.43
Roig J, Salvador A, Frasson M, García-Mayor L, Espinosa J, Roselló V, et al. Reconstrucción de la continuidad digestiva tras cirugía de la diverticulitis aguda complicada. Estudio retrospectivo multicéntrico. Cirugía Española. 2018; 1;96. https://doi.org/10.1016/j.cireng.2018.02.012
Krenzien F, Benzing C, Harders F, Junghans T, Rasim G, Bothe C, et al. The vulkan technique: A novel ostomy-closure technique that reduces complications and operative times. Arq bras cir dig. 2017; 30 (2): 139-142. https://doi.org/10.1590/0102-6720201700020013
Sabbagh C, Cosse C, Rebibo L, Hariz H, Dhahri A, Regimbeau JM. Identifying Patients Eligible for a Short Hospital Stay After Stoma Closure. J Invest Surg. 2018;31(3):168–72. https://doi.org/10.1080/08941939.2017.1299818
Pirzada MT, Naseer F, Haider R, Haider J, Ahmed MJ, Alam SN, et al. Enhanced recovery after surgery (ERAS) protocol in stoma reversals. J Pak Med Assoc. 2017;67(11):1674‐1678. https://pubmed.ncbi.nlm.nih.gov/29171558/
Aquina CT, Probst CP, Becerra AZ, Hensley BJ, Iannuzzi JC, Noyes K, et al. The impact of surgeon volume on colostomy reversal outcomes after Hartmann’s procedure for diverticulitis. Surgery. 2016;160 (5):1309–17. https://doi.org/10.1016/j.surg.2016.05.008
Nanavati AJ, Prabhakar S. Fast-Tracking Colostomy Closures. Indian J Surg. 2015; 77:1148–53. https://doi.org/10.1007/s12262-015-1224-9
Ferrara F, Parini D, Bondurri A, Veltri M, Barbierato M, Pata F, et al. Italian guidelines for the surgical management of enteral stomas in adults. Tech Coloproctol. 2019 ;23(11):1037–56. https://doi.org/10.1007/s10151-019-02099-3
Climent-Agustín M, Pascual M, Alonso S, Salvans S, Gil M., Grande L, et al. El estudio radiológico con contraste antes del cierre del estoma derivativo en el cáncer de recto no es necesario de forma rutinaria. Cirugía Española. 2018;1;97. https://doi.org/10.1016/j.cireng.2019.02.008
Zhen L, Wang Y, Zhang Z, Wu T, Liu R, Li T, et al. Effectiveness between early and late temporary ileostomy closure in patients with rectal cancer: A prospective study. Curr Probl Cancer. 2017;41(3):231–40. https://doi.org/10.1016/j.currproblcancer.2017.02.007
Kim S, Kang SI. The effectiveness of negative-pressure wound therapy for wound healing after stoma reversal: a randomised control study (SR-PICO study). Trials. 2020; 21(1). https://doi.org/10.1186/s13063-019-3925-z
Lopez MPJ, Melendres MFA, Maglangit SACA, Roxas MFT, Monroy HJ, Crisostomo AC. Un ensayo clínico controlado aleatorio que compara los resultados de la aproximación circunferencial de la herida subcuticular (CSWA) con el cierre convencional de la herida después de la reversión del estoma. Tech Coloproctol. 2015; 19, 461–468. https://doi.org/10.1007/s10151-015-1322-5
Park J, Danielsen AK, Angenete E, Bock D, Marinez AC, Haglind E, et al. Quality of life in a randomized trial of early closure of temporary ileostomy after rectal resection for cancer (EASY trial). Br J Surg. 2018;105(3):244–51.
https://dx.doi.org/10.1002%2Fbjs.10680
Farag S, Rehman S, Sains P, Baig MK, Sajid MS. Early vs delayed closure of loop defunctioning ileostomy in patients undergoing distal colorectal resections: an integrated systematic review and meta-analysis of published randomized controlled trials. Colorectal Disease. 2017;19(12):1050–7. https://doi.org/10.1111/codi.13922
Horesh N, Lessing Y, Rudnicki Y, Kent I, Kammar H, Ben-Yaacov A, et al. Timing of colostomy reversal following Hartmann’s procedure for perforated diverticulitis. J Visc Surg. 2020; 157(5):395-400. https://doi.org/10.1016/j.jviscsurg.2020.01.005
Arkenbosch J, Miyagaki H, Kumara HMCS, Yan X, Cekic V, Whelan RL. Efficacy of laparoscopic-assisted approach for reversal of Hartmann’s procedure: results from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Surg Endosc. 2015;29(8):2109–14. https://doi.org/10.1007/s00464-014-3926-7
Van Rooijen SJ, Huisman D, Stuijvenberg M, Stens J, Roumen RMH, Daams F, et al. Intraoperative modifiable risk factors of colorectal anastomotic leakage: Why surgeons and anesthesiologists should act together. Int J Surg. 2016 Dec;36(Pt A):183–200. https://doi.org/10.1016/j.ijsu.2016.09.098
Kiran RP, Murray ACA, Chiuzan C, Estrada D, Forde K. Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery. Ann Surg. 2015;262(3):415–6. https://doi.org/10.1097/SLA.0000000000001416
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