ArticleWorld journal of gastrointestinal pharmacology and therapeutics2026
Predictors of clinically significant complications after stoma reversal: A prospective analytical study.
Article in World journal of gastrointestinal pharmacology and therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundStoma reversal is often considered a low-risk elective procedure; however, postoperative morbidity remains clinically significant. Evidence identifying predictors of meaningful complications, particularly from resource-limited settings, is limited.
aimTo identify risk factors associated with Clavien-Dindo grade II and above complications following stoma reversal surgery.
methodsThis prospective analytical study was conducted at a tertiary care center between February 2024 and June 2025. Adult patients undergoing elective stoma reversal were included and followed for 30 days postoperatively. Demographic, clinical, and operative variables-including age, etiology, type of index surgery, timing of reversal, type of anastomosis, and anastomosis time-were analyzed. Postoperative complications were graded using the Clavien-Dindo classification. Secondary outcomes included postoperative ileus and length of hospital stay.
resultsClinically significant complications were observed in a substantial proportion of patients. Advanced age and longer anastomosis time were significantly associated with Clavien-Dindo grade ≥ II complications, postoperative ileus, and prolonged hospital stay. In contrast, type of stoma and anastomotic technique were not independent predictors of high-grade complications.
conclusionStoma reversal carries a measurable risk of morbidity and should not be regarded as a minor procedure. Patient-related factors and operative complexity play a greater role in determining outcomes than technical variations alone. Careful patient selection, preoperative optimization, and strategies to minimize anastomosis time are essential to improve postoperative outcomes.
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