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Loop ileostomy after heal pouch-anal anastomosis—Is it necessary?

  • Original Contributions
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Diseases of the Colon & Rectum

Abstract

Construction of a loop ileostomy is usually advised in patients having an ileal pouch-anal anastomosis to minimize the complication of chronic pelvic sepsis. Formation and closure of a loop ileostomy was associated with a 41 percent and 30 percent complication rate, respectively, in a prospective series of 34 patients. This morbidity must now be assessed in relation to the benefits of avoiding temporary fecal diversion in restorative proctocolectomy.

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References

  1. Shirley F, Kodner IJ, Frey RD. Loop ileostomy: techniques and indications. Dis Colon Rectum 1984;27:382–6.

    PubMed  Google Scholar 

  2. Metcalf AM, Dozois RR, Kelly KA, Beart RW Jr, Wolff BG. Ileal “J” pouch-anal anastomosis: clinical outcome. Ann Surg 1985;202:735–9.

    PubMed  Google Scholar 

  3. Fonkalsrud EW. Endorectal ileoanal anastomosis with isoperiostaltic ileal reservoir after colectomy and mucosal proctectomy. Ann Surg 1984;199:151–7.

    PubMed  Google Scholar 

  4. Rothenberger DA, Vermeulen FD, Christenson CE,et al. Restorative proctocolectomy with ileal reservoir and ileoanal anastomosis. Am J Surg 1983;145: 82–7.

    PubMed  Google Scholar 

  5. Metcalf AM, Dozois RR, Kelly KA, Wolff BG. Ileal pouch—anal anastomosis without temporary, diverting ileostomy. Dis Colon Rectum 1986;29:33–5.

    PubMed  Google Scholar 

  6. Thow GB. Single stage colectomy and mucosal proctectomy with stapled antiperistaltic ileoanal reservoir. In: Dozois RR, ed. Alternatives to conventional ileostomy. Chicago: Year Book Medical, 1985:420–32.

    Google Scholar 

  7. Keighley MR, Winslet MC, Pringle W, Allan RN. The pouch as an alternative to permanent ileostomy. Br J Hosp Med 1987;38:286–93.

    PubMed  Google Scholar 

  8. Everett WG. Experience of restorative proctocolectomy with ileal reservoir. Br J Surg 1989;76:77–81.

    PubMed  Google Scholar 

  9. Alexander-Williams J. Loop ileostomy and colostomy for faecal diversion. Ann R Coll Surg Engl 1974;54:142–7.

    Google Scholar 

  10. Turnbull RB Jr, Weakley FL. Atlas of intestinal stomas. St. Louis: CV Mosby, 1967:32–9.

    Google Scholar 

  11. Williams NS, Naysmith DG, Jones P, Smith AH. Defunctioning stomas: a prospective controlled trial comparing loop ileostomy with loop transverse colostomy. Br J Surg 1986;73:566–70.

    PubMed  Google Scholar 

  12. Schofield PF, Cade D, Lambert M. Dependent proximal loop colostomy: does it defunction the distal colon? Br J Surg 1980;67:201–2.

    PubMed  Google Scholar 

  13. Winslet MC, Drac Z, Allan A, Keighley MR. The aetiology of continued defaecation in the presence of a loop ileostomy (abstr). Br J Surg 1987;74:1157.

    Google Scholar 

  14. Metcalf AM, Dozois RR, Beart RW Jr, Kelly KA, Wolff BG. Temporary ileostomy for ileal pouch-anal anastomosis: function and complications. Dis Colon Rectum 1986;29:300–3.

    PubMed  Google Scholar 

  15. Feinberg SM, McLeod RS, Cohen Z. Complications of loop ileostomy. Am J Surg 1987;153:102–7.

    PubMed  Google Scholar 

  16. Fasth S, Hulten L. Loop ileostomy: a superior diverting stoma in colorectal surgery. World J Surg 1984;8:401–7.

    PubMed  Google Scholar 

  17. Kmiot W, Alexander-Williams J, Keighley MR. Totally stapled restorative proctocolectomy. Br J Surg 1989;76:961–4.

    PubMed  Google Scholar 

  18. Stryker SJ, Borody TJ, Phillips SF, Kelly KA, Dozois RR, Beart RW Jr. Mobility of the small intestine after proctocolectomy and ileal pouch-anal anastomosis. Am J Surg 1985;201:351–6.

    Google Scholar 

  19. Raimes SA, Mathew W, Devlin HB. Temporary loop ileostomy. J R Soc Med 1984;77:738–41.

    PubMed  Google Scholar 

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Winslet, M.C., Barsoum, G., Pringle, W. et al. Loop ileostomy after heal pouch-anal anastomosis—Is it necessary?. Dis Colon Rectum 34, 267–270 (1991). https://doi.org/10.1007/BF02090168

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