A. Riggle
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Research Interests
A. Riggle has a total of 11 co-authors. Here are the top co-authors by number of shared publications:
- Brandon Robert Bruns
Division of Trauma and Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland, 22 South Greene St, Baltimore, MD, 21201, USA
1 shared publication - Daniel N. Holena
Medical University of South Carolina, Charleston, South Carolina, USA
1 shared publication - Herb Phelan
University of Texas Southwestern Medical Center
1 shared publication - Jason D. Pasley
Program in Trauma, Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA
1 shared publication - Jose J. Diaz
University of Maryland Medical Center
1 shared publication - Joseph J. DuBose
University of Texas Medical School at Houston, Houston, Tex
1 shared publication
Latest Publications
- 4 September 2014
- Published by Springer Nature in European Journal of Trauma and Emergency Surgery
- Vol. 41 (5) , 539-543
Loop versus end colostomy reversal: has anything changed?
Though primary repair of colon injuries is preferred, certain injury patterns require colostomy creation. Colostomy reversal is associated with significant morbidity and healthcare cost. Complication rates may be influenced by technique of diversion (loop vs. end colostomy), though this remains ill-defined. We hypothesized that reversal of loop colostomies is associated with fewer complications than end colostomies. This is a retrospective, multi-institutional study (four, level-1 trauma centers) of patients undergoing colostomy takedown for trauma during the time period 1/2006–12/2012. Data were collected from index trauma admission and subsequent admission for reversal and included demographics and complications of reversal. Student’s t test was used to compare continuous variables against loop versus end colostomy. Discrete variables were compared against both groups using Chi-squared tests. Over the 6-year study period, 218 patients underwent colostomy takedown after trauma with a mean age of 30; 190 (87 %) were male, 162 (74 %) had penetrating injury as their indication for colostomy, and 98 (45 %) experienced at least one complication. Patients in the end colostomy group (n = 160) were more likely to require midline laparotomy (145 vs. 18, p < 0.001), had greater intra-operative blood loss (260.7 vs. 99.4 mL, p < 0.001), had greater hospital length of stay (8.4 vs. 5.5 days, p < 0.001), and had more overall complications (81 vs. 17, p = 0.005) than patients managed with loop colostomy (n = 58). Local takedown of a loop colostomy is safe and leads to shorter hospital stays, less intra-operative blood loss, and fewer complications when compared to end colostomy.
- 4 September 2014
- Published by Springer Nature in European Journal of Trauma and Emergency Surgery
- Vol. 41 (5) , 539-543
Loop versus end colostomy reversal: has anything changed?
Though primary repair of colon injuries is preferred, certain injury patterns require colostomy creation. Colostomy reversal is associated with significant morbidity and healthcare cost. Complication rates may be influenced by technique of diversion (loop vs. end colostomy), though this remains ill-defined. We hypothesized that reversal of loop colostomies is associated with fewer complications than end colostomies. This is a retrospective, multi-institutional study (four, level-1 trauma centers) of patients undergoing colostomy takedown for trauma during the time period 1/2006–12/2012. Data were collected from index trauma admission and subsequent admission for reversal and included demographics and complications of reversal. Student’s t test was used to compare continuous variables against loop versus end colostomy. Discrete variables were compared against both groups using Chi-squared tests. Over the 6-year study period, 218 patients underwent colostomy takedown after trauma with a mean age of 30; 190 (87 %) were male, 162 (74 %) had penetrating injury as their indication for colostomy, and 98 (45 %) experienced at least one complication. Patients in the end colostomy group (n = 160) were more likely to require midline laparotomy (145 vs. 18, p < 0.001), had greater intra-operative blood loss (260.7 vs. 99.4 mL, p < 0.001), had greater hospital length of stay (8.4 vs. 5.5 days, p < 0.001), and had more overall complications (81 vs. 17, p = 0.005) than patients managed with loop colostomy (n = 58). Local takedown of a loop colostomy is safe and leads to shorter hospital stays, less intra-operative blood loss, and fewer complications when compared to end colostomy.