IRB Study Number 24-1049
Status Recruiting
Location Cleveland Clinic Weston Hospital
Institute Digestive Disease & Surgery Institute
Description
This study is for patients who have a temporary loop ileostomy after colon or rectal surgery and are scheduled to have the ileostomy closed.
We are testing whether it is safe and practical for patients to perform bowel stimulation at home before surgery. You will have a catheter placed into the ileostomy in clinic, and the first stimulation will be done together with the research nurse. Then you will do the remaining stimulations at home over about 2–3 weeks using a salt water and thickening powder solution, with phone support from the study team.
We will look at how many patients are able to complete most of the at-home stimulations and how this affects recovery after ileostomy closure, including bowel function, hospital stay, quality of life, and satisfaction with care.
Inclusion Criteria
Had a colectomy or proctectomy (colon or rectal surgery) for benign disease or cancer
Have a protective loop ileostomy created by a colorectal surgeon, general surgeon, or surgical oncologist at Cleveland Clinic Florida
Are scheduled for elective ileostomy closure
Are able to provide clear informed consent
Are willing and able to follow the bowel stimulation instructions at home
Exclusion Criteria
Underlying inflammatory bowel disease (IBD)
Known peritoneal metastases at the time of ileostomy closure
Unable to provide clear informed consent
Had a subtotal colectomy or total proctocolectomy
Planned laparotomy (large open incision) for ileostomy closure instead of local stoma closure
Do not speak English or Spanish
