Abstract
Colostomy is considered by most authors the first step of treatment for neonates affected by high or intermediate anorectal malformations (ARMs). However, for this subset of patients, the debate between total diverting colostomy (TDC) and loop colostomy (LC) is still ongoing among the paediatric surgeons community. The aim of this paper is to present our experience consisting in applying the Brooke technique, until now used only for ileostomy, in order to perform a functionally diverting loop colostomy (FDLC) in patients with high or intermediate ARMs. At our institution, from January 2014 to December 2018, 12 patients (6 males and 6 females) with high or intermediate ARMs underwent colostomy according to the Brooke ileostomy technique. The only complication observed was mild proximal stoma prolapse in 1 patient. Creation and closure of the stomas were easy, and the final cosmetic result was very satisfying in all patients. We believe that this is a promising technique since it might overcome the drawbacks of a TDC as it is less invasive, easier, and quicker to perform. Furthermore, it guarantees final better cosmetic results, albeit functioning as a TDC.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
van den Hondel D, Sloots C, Meeussen C, Wijnen R (2014) To split or not to split: colostomy complications for anorectal malformations or Hirschsprung disease: a single center experience and a systematic review of the literature. Eur J Pediatr Surg 24(1):61–69. https://doi.org/10.1055/s-0033-1351663
Wilkins S, Peña A (1988) The role of colostomy in the management of anorectal malformations. Pediatr Surg Int 3:105–109. https://doi.org/10.1007/BF00182761
Mullassery D, Iacona R, Cross K, Blackburn S, Kiely E, Eaton S, Curry J, De Coppi P (2018) Loop colostomies are safe in anorectal malformations. J Pediatr Surg 53(11):2170–2173. https://doi.org/10.1016/j.jpedsurg.2018.05.022
Liechty ST, Barnhart DC, Huber JT, Zobell S, Rollins MD (2016) The morbidity of a divided stoma compared to a loop colostomy in patients with anorectal malformation. J Pediatr Surg 51(1):107–110. https://doi.org/10.1016/j.jpedsurg.2015.10.025
Youssef F, Arbash G, Puligandla PS, Baird RJ (2017) Loop versus divided colostomy for the management of anorectal malformations: a systematic review and meta-analysis. J Pediatr Surg 52(5):783–790. https://doi.org/10.1016/j.jpedsurg.2017.01.044
Acknowledgements
The authors wish to thank Mr. Adrian Bianchi for the suggestions in preparing the manuscript.
Author information
Authors and Affiliations
Contributions
Giovanni Boroni Manuscript writing, operative work
Annamaria GiambancoExtensive literature search, manuscript writing
Anna Lavinia BulottaExtensive literature search, data analysis
Filippo Parolini Data analysis, Reviewing of the manuscript
Susanna Milianti Data analysis
Paolo Orizio Data acquisition
Daniele AlbertiConceptualization, study design, operative work
Corresponding author
Ethics declarations
Conflict of Interest
We hereby declare that the following information relevant to this article are true to the best of our knowledge:
- The above-mentioned manuscript has not been published, accepted for publication, or under editorial review for publication elsewhere and it will not be submitted to any other journal while under consideration for publication in your Journal.
- We have no financial relationship relevant to this article to disclose; there is not any conflict of interest relevant to this article.
- All authors participated in the concept and design, analysis and interpretation of data, and drafting and revising the manuscript, and they have approved the manuscript as submitted.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Boroni, G., Giambanco, A., Bulotta, A.L. et al. Anorectal Malformations: the Brooke Ileostomy Technique Moves to the Colon. Indian J Surg 82, 1173–1175 (2020). https://doi.org/10.1007/s12262-020-02322-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-020-02322-8