COMPARING EARLY AND DELAYED ILEOSTOMY REVERSAL IN INTESTINAL PERFORATION PATIENTS

Abstract

Background: Ileostomy reversal after intestinal perforation restores gastrointestinal function, but optimal timing (early vs. delayed) remains debated. Objective: To compare outcomes of early versus delayed ileostomy reversal in intestinal perforation patients. Methods: A descriptive case series of 90 patients at Lahore General Hospital was divided into early (reversal ≤3 months) and delayed (>3 months) groups. Data were collected preoperatively, during surgery, at discharge, and during 30-day follow-up. Results: The early group (n=45) showed faster recovery with earlier return to normal activity (21.3 vs. 26.7 days, p=0.01) and work (35.2 vs. 42.1 days, p=0.04). Satisfactory recovery was higher (55.6% vs. 40%, p=0.05), along with better postoperative quality of life scores (80.4 vs. 75.3, p=0.03). No significant differences were found in complication rates, hospital stay, or pain. Conclusion: Early ileostomy reversal promotes faster recovery, higher satisfaction, and improved quality of life without increasing complications.