Fecal diversion in the management of Crohnʼs disease of the colon

1993 ◽  
Vol 36 (8) ◽  
pp. 757-762 ◽  
Author(s):  
Mark C. Winslet ◽  
Hilary Andrews ◽  
Robert N. Allan ◽  
Michael R. B. Keighley
Keyword(s):  
Fecal Diversion

Highly selective diversion with proactive leakage management after low anterior resection for rectal cancer

2021 ◽  
Author(s):  
K Talboom ◽  
I Vogel ◽  
R D Blok ◽  
S X Roodbeen ◽  
C Y Ponsioen ◽  
...  
Keyword(s):  
Low Anterior Resection ◽  
Case Series ◽  
Fecal Diversion ◽  
Single Center ◽  
Single Centre ◽  
Diverting Stoma ◽  
Faecal Diversion ◽  
One Year ◽  
Diversion Rate

Abstract In this single center case series with nine percent primary diversion, 86 of 94 patients alive and with complete follow-up at one year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. Meaning: Highly selective fecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared all disadvantages of a diverting stoma. In this single-centre case series, with a primary diversion rate of 9 per cent, 86 of 94 patients who were alive and had complete follow-up at 1 year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. The results indicate that, with highly selective faecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared the disadvantages of a diverting stoma.

Proximal fecal diversion

1981 ◽  
Vol 24 (2) ◽  
pp. 114-119 ◽  
Author(s):  
P. Wara ◽  
K. Sørensen ◽  
V. Berg
Keyword(s):  
Fecal Diversion

scholarly journals Fecal diversion in complex anal fistulas: Is there a way to avoid it?

2021 ◽  
Vol 9 (25) ◽  
pp. 7306-7310
Author(s):  
Pankaj Garg ◽  
Vipul D Yagnik ◽  
Sushil Dawka
Keyword(s):  
Fecal Diversion ◽  
Anal Fistulas ◽  
Complex Anal Fistulas

Anastomotic Leakage After Laparoscopic Colectomy: Who Will Require Emergency Fecal Diversion?

2020 ◽  
Author(s):  
Alban Zarzavadjian Le Bian ◽  
Nicolas Tabchouri ◽  
Christine Denet ◽  
Théophile Guilbaud ◽  
Anaïs Laforest ◽  
...  
Keyword(s):  
Anastomotic Leakage ◽  
Laparoscopic Colectomy ◽  
Fecal Diversion

Clinical Factors Associated With Response to Fecal Diversion in Crohn’s Disease

2020 ◽  
Vol 86 (10) ◽  
pp. 1277-1280
Author(s):  
Hassan Buhulaigah ◽  
Adam Truong ◽  
Karen Zaghiyan ◽  
Phillip Fleshner
Keyword(s):  
Logistic Regression ◽  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Clinical Response ◽  
Disease Duration ◽  
Binary Logistic Regression ◽  
Fecal Diversion ◽  
Age At Diagnosis ◽  
Perianal Disease ◽  
Perineal Pain

Up to 80% of Crohn’s disease (CD) patients require surgery. Fecal diversion is used selectively in CD proctocolitis refractory to medical treatment or advanced perianal disease. This study examines associations between clinical features in predicting clinical response (CR) to fecal diversion in CD. Charts of CD patients undergoing fecal diversion for medically refractory disease or perianal disease were reviewed. Clinical response was assessed focusing on improvements in urgency, abdominal and perineal pain, decreased anal fistula drainage, and weight gain. Univariate binary logistic regression and multivariate forward-stepwise modeling analysis were used to determine associations with CR. The study cohort comprised 79 patients. After a median follow-up of 36 (3-192) months, 40 (51%) patients achieved a CR. Binary logistic regression analysis revealed both age at diagnosis (hazard ratio [HR] 1.05; confidence interval [CI] 1.01-1.09; P = .007) and disease duration (HR .91; CI .86-.96; P = .001) to be significantly associated with CR. Later age of onset (HR 1.05; CI 1.01-1.10; P = .002) and shorter disease duration (HR .91; CI .86-.97; P = .02) remained significant on multivariate analysis. This largest reported series of fecal diversion for refractory CD in the biologic drug era revealed that young age at diagnosis and long disease duration are associated with a lower CR.

Su1973 OUTCOMES OF FECAL DIVERSION FOR PERIANAL CROHN'S DISEASE IN THE ERA OF BIOLOGIC THERAPY: A MULTI-CENTER RETROSPECTIVE STUDY

2020 ◽  
Vol 158 (6) ◽  
pp. S-728
Author(s):  
Jacqueline Reid ◽  
Colin B. Rumbolt ◽  
Robert A. Mitchell ◽  
Cherry Galorport ◽  
Jacqueline Brown ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Retrospective Study ◽  
Crohn's Disease ◽  
Biologic Therapy ◽  
Fecal Diversion ◽  
Perianal Crohn’S Disease ◽  
Perianal Crohn's Disease
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