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Rodless end-loop stomas

Seven-year experience

  • Original Contributions
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Diseases of the Colon & Rectum

Abstract

The rodless, end-loop stoma was developed as an alternative to the more traditional loop stoma to minimize patient management problems. A retrospective review of our seven-year experience in 229 patients with end-loop colostomies (135), ileocolostomies (70), and ileostomies (24) is presented. A total of 30 stoma-related complications were observed in 27 stomas, for an overall complication rate of 13.1 percent. The most common complications were skin excoriation secondary to leakage (3.5 percent), retraction (3.5 percent), partial necrosis (2.6 percent), and peristomal sepsis (1.8 percent). Mucocutaneous separation, prolapse, and stenosis were each seen in less than one percent of patients. No cases of stomal herniation, obstruction, or hemorrhage were encountered. Twelve deaths occurred, but none was attributed to stoma-related complications. The rodless, endloop stoma is a simple and safe procedure with many advantages and a low incidence of complications.

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References

  1. Prasad ML, Pearl RK, Abcarian H. End-loop colostomy. Surg Gynecol Obstet 1984;158:380–2.

    PubMed  Google Scholar 

  2. Prasad ML, Pearl RK, Orsay CP, Abcarian H. Rodless ileostomy: a modified loop ileostomy. Dis Colon Rectum 1984;27:270–1.

    PubMed  Google Scholar 

  3. Prasad ML, Pearl RK, Orsay CP, Abcarian H. End-loop ileocolostomy for massive trauma to the right side of the colon. Arch Surg 1984;119:975–6.

    PubMed  Google Scholar 

  4. Birnbaum W, Ferrier P. Complications of abdominal colostomy. Am J Surg 1952;83:64–7.

    PubMed  Google Scholar 

  5. Green EW. Colostomies and their complications. Surg Gynecol Obstet 1966;122:1230–2.

    PubMed  Google Scholar 

  6. Mollitt DL, Malangoni MA, Balantine TVN, Grosfeld JL. Colostomy complications in children. Arch Surg 1980;115:455–8.

    PubMed  Google Scholar 

  7. Stothert JC Jr, Brubacher L, Simonowitz DA. Complications of emergency stoma formation. Arch Surg 1982;117:307–9.

    PubMed  Google Scholar 

  8. Burns FJ. Complications of colostomy. Dis Colon Rectum 1970;13:448–50.

    PubMed  Google Scholar 

  9. Pearl RK, Prasad ML, Orsay CP,et al. Early local complications from intestinal stomas. Arch Surg 1985;120:1145–7.

    PubMed  Google Scholar 

  10. Wara P, Sorensen K, Berg V. Proximal fecal diversion: review of ten years' experience. Dis Colon Rectum 1981;24:114–9.

    PubMed  Google Scholar 

  11. Abrams BL, Alsikafi FH, Waterman NG. Colostomy: a new look at morbidity and mortality. Am Surg 1979;45:462–4.

    PubMed  Google Scholar 

  12. Miles RM, Greene RS. Review of colostomy in a community hospital. Am Surg 1983;48:182–6.

    Google Scholar 

  13. Chandler JG, Evans BP. Colostomy prolapse. Surgery 1978;84:577–82.

    PubMed  Google Scholar 

  14. Saha SP, Rao N, Stephenson SE Jr. Complications of colostomy. Dis Col Rectum 1973;16:515–6.

    Google Scholar 

  15. Hawley PR, Ritchie JK. Complications of ileostomy and colostomy following excisional surgery. Clin Gastroenterol 1979;8:403–15.

    PubMed  Google Scholar 

  16. Babcock G, Bivins BA, Sachatello CR. Technical complications of ileostomy. South Med J 1980;73:329–31.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Cook County Hospital, Chicago, Illinois

    James A. Unti M.D., Herand Abcarian M.D., Russell K. Pearl M.D., Charles P. Orsay M.D., Richard L. Nelson M.D., M. Leela Prasad M.D., Maryann Melzl Leff R.N., E.T. & Ana B. Tan R.N., E.T.

  2. Department of Surgery, University of Illinois at Chicago, Chicago, Illinois

    Herand Abcarian M.D., Russell K. Pearl M.D., Charles P. Orsay M.D., Richard L. Nelson M.D. & Bernardo Duarte M.D.

  3. Department of Surgery, West Side Veterans Administration Hospital, Chicago, Illinois

    Russell K. Pearl M.D., Richard L. Nelson M.D. & Bernardo Duarte M.D.

Authors
  1. James A. Unti M.D.
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  2. Herand Abcarian M.D.
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  3. Russell K. Pearl M.D.
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  4. Charles P. Orsay M.D.
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  5. Richard L. Nelson M.D.
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  6. M. Leela Prasad M.D.
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  7. Bernardo Duarte M.D.
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  8. Maryann Melzl Leff R.N., E.T.
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  9. Ana B. Tan R.N., E.T.
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Additional information

Read at the meeting of The American Society of Colon and Rectal Surgeons, St. Louis, Missouri, April 29 to May 4, 1990.

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Cite this article

Unti, J.A., Abcarian, H., Pearl, R.K. et al. Rodless end-loop stomas. Dis Colon Rectum 34, 999–1004 (1991). https://doi.org/10.1007/BF02049964

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  • DOI: https://doi.org/10.1007/BF02049964

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