Risk of Anastomotic Leak Higher with Early Ileostomy Closure

Early closure of diverting loop ileostomy after proctectomy is associated with a higher risk of anastomotic leak, particularly when closure is done within 2 weeks of ileostomy formation. Factors such as diabetes mellitus, smoking, and early closure within 2 weeks are significantly associated with postoperative complications. Routine early ileostomy closure cannot be recommended based on these findings.