Surgeons should be aware that specific factors increase the risk of stoma outlet obstruction (SOO), which can lead to serious postoperative complications.

• Increased rectus abdominis muscle thickness raises SOO risk (OR 4.04).
• High output stoma significantly contributes to SOO (OR 4.16).
• Loop ileostomy has a much higher risk of SOO than end ileostomy (OR 6.53).

Tailored surgical techniques and vigilant postoperative care are essential for reducing SOO incidence and improving patient outcomes.

• Other contributing factors include higher BMI and subcutaneous fat thickness.