Korean J Obstet Gynecol.  2008 Jul;51(7):732-737.

Clinical characteristics of ovarian cancer patients who underwent enterostomy

• Kim K
• Kang SB
• Chung HH
• Kim JW
• Park NH
• Song YS
• Lee HP

Abstract

OBJECTIVE
The aim of this study was to examine the clinical characteristics of patients with ovarian cancer who underwent enterostomy.
METHODS
Via medical record review, we obtained clinical information of 51 ovarian cancer patients who underwent enterostomy in our hospital, from 1990 to 2006. We compared the clinical characteristics according to the indication of enterostomy: primary cytoreduction (PC), secondary cytoreduction (SC), and palliative only (PO). In addition, we investigated the correlations among clinical characteristics to find prognosticators.
RESULTS
Patients were older (P=0.061), had less upper gastrointestinal symptoms (P=0.000), underwent colostomy rather than ileostomy (P=0.037), and received more postoperative chemotherapy (P=0.000) according to the following order: PC, SC, PO groups. Older patients had more postoperative complications (P=0.035). In the PC group, older patients had less chance of optimal debulking (P=0.020). In the PO group, preoperative gastrointestinal symptoms were associated with the type of enterostomy.
CONCLUSIONS
Clinical characteristics of patients were different according to the indication of enterostomy. Careful examination of clinical characteristics and gastrointestinal symptoms might be helpful to predict the postoperative quality of life.

Keyword

Ovarian neoplasms; Enterostomy; Palliative care; Postoperative complications

MeSH Terms

Colostomy
Enterostomy
Humans
Ileostomy
Medical Records
Ovarian Neoplasms
Palliative Care
Postoperative Complications