Water soluble contrast enema examination of the integrity of the rectal anastomosis prior to loop ileostomy reversal may be superfluous

2015 ◽  
Vol 30 (3) ◽  
pp. 381-384 ◽  
Author(s):  
Anna Larsson ◽  
Gudrun Lindmark ◽  
Ingvar Syk ◽  
Pamela Buchwald
Keyword(s):  
Loop Ileostomy ◽  
Contrast Enema ◽  
Water Soluble ◽  
Rectal Anastomosis ◽  
Ileostomy Reversal ◽  
Water Soluble Contrast

scholarly journals Is water‐soluble contrast enema examination for integrity of rectal anastomosis necessary prior to ileostomy reversal?

JGH Open ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. 417-421
Author(s):  
Hui Lu Goh ◽  
Lauren Hawkins ◽  
Sivesh K Kamarajah ◽  
Sharad Karandikar ◽  
Mark Goldstein
Keyword(s):  
Contrast Enema ◽  
Water Soluble ◽  
Rectal Anastomosis ◽  
Ileostomy Reversal ◽  
Water Soluble Contrast

scholarly journals Is the routine use of a water-soluble contrast enema prior to closure of a loop ileostomy necessary? A review of a single institution experience

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Nikoletta Dimitriou ◽  
Sofoklis Panteleimonitis ◽  
Ajit Dhillon ◽  
Kirsten Boyle ◽  
Mike Norwood ◽  
...  
Keyword(s):  
Loop Ileostomy ◽  
Contrast Enema ◽  
Water Soluble ◽  
Single Institution ◽  
Water Soluble Contrast

The water soluble contrast enema after rectal anastomosis

1982 ◽  
Vol 69 (12) ◽  
pp. 714-717 ◽  
Author(s):  
A. J. Shorthouse ◽  
C. I. Bartram ◽  
A. A. Eyers ◽  
J. P. S. Thomson
Keyword(s):  
Contrast Enema ◽  
Water Soluble ◽  
Rectal Anastomosis ◽  
Water Soluble Contrast

Water-soluble contrast enema as an aid to colonoscopy

1982 ◽  
Vol 138 (2) ◽  
pp. 357-358 ◽  
Author(s):  
WC Wu ◽  
DW Gelfand ◽  
DJ Ott ◽  
JH Gilliam
Keyword(s):  
Contrast Enema ◽  
Water Soluble ◽  
Water Soluble Contrast

scholarly journals Flexible endoscopy is enough diagnostic prior to loop ileostomy reversal

2020 ◽  
Author(s):  
S. Lindner ◽  
K. von Rudno ◽  
J. Gawlitza ◽  
J. Hardt ◽  
F. Sandra-Petrescu ◽  
...  
Keyword(s):  
Diagnostic Test ◽  
Loop Ileostomy ◽  
Tertiary Care ◽  
Digital Rectal Examination ◽  
Flexible Endoscopy ◽  
Contrast Enema ◽  
Test Accuracy ◽  
Ileostomy Reversal ◽  
The Impact ◽  
Group 1

Abstract Purpose This study investigates whether contrast enema (CE) and flexible endoscopy (FE) should be performed routinely after low anterior resection (LAR) before ileostomy reversal. Additionally, the impact of previous anastomotic leakage (AL) on diagnostic test accuracy (DTA) was assessed. Methods This is a retrospective analysis of prospectively collected tertiary care data of two centers. Consecutive rectal cancer patients undergoing LAR with loop ileostomy formation were included. Before ileostomy reversal, all patients were assessed by CE and FE. DTA of FE and CE for asymptomatic AL in patients who had previously suffered from clinically relevant AL (group 1) compared with those without apparent AL after LAR (group 0) were assessed separately. Results Two hundred ninety-three patients were included in the analysis, 86 in group 1 and 207 in group 0. Overall sensitivity for detection of asymptomatic AL was 76% (FE) and 60% (CE). Specificity was 100% for both tests. DTA of FE was equal or superior to CE in all subgroups. Prevalence of asymptomatic AL at the time of testing was 1.4% in group 0 and 25.6% in group 1. Conclusion Flexible endoscopy is the more accurate diagnostic test for the detection of asymptomatic anastomotic leaks prior to ileostomy reversal. Contrast enema showed no gain of information. In the group without complications after the initial rectal resection, 104 must be tested to find one leak prior to reversal. In those patients, routine diagnostic testing additional to digital rectal examination may be questioned.

scholarly journals Clinical Value of Contrast Enema Prior to Ileostomy Closure

2017 ◽  
Vol 189 (09) ◽  
pp. 855-863 ◽  
Author(s):  
Andrea Goetz ◽  
Natascha da Silva ◽  
Christian Moser ◽  
Ayman Agha ◽  
Lena-Marie Dendl ◽  
...  
Keyword(s):  
Decision Making ◽  
Loop Ileostomy ◽  
Contrast Enema ◽  
Ileostomy Closure ◽  
Diagnostic Methods ◽  
Contrast Imaging ◽  
Group I ◽  
Ileostomy Reversal ◽  
Radiological Report ◽  
Group Ii

Purpose To determine the value of routine contrast enema of loop ileostomy before elective ileostomy closure regarding the influence on the clinical decision-making. Materials and Methods Retrospective analysis of contrast enemas at a tertiary care center between 2005 und 2011. Patients were divided into two groups: Group I with ileostomy reversal, group II without ileostomy closure. Patient-related parameters (underlying disease, operation method) and parameters based on the findings (stenosis, leakage of anastomosis, incontinence) were evaluated. Results Analyzing a total of 252 patients in 89 % (group I, n = 225) ileostomy closure was performed. In 15 % the radiologic report was the only diagnostic modality needed for therapy decision; in 36 % the contrast enema and one or more other diagnostic methods were decisive. In 36 % the radiological report of the contrast imaging was not relevant for decision at all. In 11 % (group II, n = 27) no ileostomy closure was performed. In this group in 11 % the radiological report of the contrast enema was the only decision factor for not performing the ileostomy reversal. In 26 % one or more examination was necessary. In 26 % the result of the contrast examination was not relevant. Conclusion The radiologic contrast imaging of loop ileostomy solely plays a minor role in complex surgical decision-making before planned reversal, but is important as first imaging method in detecting complications and often leads to additional examinations. Key points  Citation Format

Early water-soluble contrast enema in the diagnosis of acute colonic diverticulitis

1991 ◽  
Vol 6 (4) ◽  
pp. 190-192 ◽  
Author(s):  
K. M. Hiltunen ◽  
H. Kolehmainen ◽  
T. Vuorinen ◽  
M. Matikainen
Keyword(s):  
Contrast Enema ◽  
Water Soluble ◽  
Colonic Diverticulitis ◽  
Water Soluble Contrast ◽  
Acute Colonic Diverticulitis
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