Extended duration of faecal diversion is associated with increased ileus upon loop ileostomy reversal

2021 ◽  
Author(s):  
Keegan Guidolin ◽  
Flora Jung ◽  
Richard Spence ◽  
Fayez Quereshy ◽  
Sami Chadi
Keyword(s):  
Loop Ileostomy ◽  
Ileostomy Reversal ◽  
Faecal Diversion ◽  
Extended Duration

Feasibility and efficacy of ghost ileostomy in typhoid ileal perforations: A prospective observational study

2021 ◽  
pp. 004947552110070
Author(s):  
Prabhat Shukla ◽  
Uday Somashekar ◽  
Dileep S Thakur ◽  
Reena Kothari ◽  
Dhananjaya Sharma
Keyword(s):  
Body Weight ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Loop Ileostomy ◽  
Morbidity And Mortality ◽  
Ghost Ileostomy ◽  
Faecal Diversion

Loop ileostomy is commonly performed for typhoid ileal perforations as temporary faecal diversion. This is associated with several stoma-related complications and also requires further surgery for its closure. Thus, we were prompted to conduct a prospective observational study on the safety, feasibility and efficacy of ghost ileostomy in typhoid ileal perforations. After dealing with the perforation, a ghost ileostomy was performed in 10 selected patients with favourable circumstances; otherwise, a conventional loop ileostomy was performed in 19 patients. The two groups were comparable (p > 0.05) for morbidity and mortality except for stoma-related complications, seen only in the loop ileostomy group. Body weight was better preserved in the ghost ileostomy group. One patient in the ghost ileostomy group required conversion to loop ileostomy owing to signs of intra-peritoneal suture leak, without any detriment to outcome. Our study shows safety, feasibility and efficacy of ghost ileostomy in selected patients with typhoid ileal perforations, thus avoiding loop ileostomy in one-third of patients.

scholarly journals Laparoscopic Loop Ileostomy Reversal: Reducing Morbidity While Improving Functional Outcomes

2011 ◽  
Vol 15 (4) ◽  
pp. 475-479 ◽  
Author(s):  
Karla Russek ◽  
Jojy M. George ◽  
Naveed Zafar ◽  
Pedro Cuevas-Estandia ◽  
Morris Franklin
Keyword(s):  
Functional Outcomes ◽  
Loop Ileostomy ◽  
Ileostomy Reversal

Safety and efficacy of prophylactic resorbable biosynthetic mesh in loop-ileostomy reversal: a case–control study

2020 ◽  
Vol 72 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Francesco Pizza ◽  
Dario D’Antonio ◽  
Michele Arcopinto ◽  
Chiara Dell’Isola ◽  
Alberto Marvaso
Keyword(s):  
Case Control Study ◽  
Loop Ileostomy ◽  
Case Control ◽  
Safety And Efficacy ◽  
Ileostomy Reversal ◽  
Control Study

Negative-Pressure Therapy to Reduce the Risk of Wound Infection Following Diverting Loop Ileostomy Reversal

2016 ◽  
Vol 29 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Ramon Cantero ◽  
Ines Rubio-Perez ◽  
Miguel Leon ◽  
Mario Alvarez ◽  
Beatriz Diaz ◽  
...  
Keyword(s):  
Wound Infection ◽  
Negative Pressure ◽  
Loop Ileostomy ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
Ileostomy Reversal ◽  
Diverting Loop Ileostomy

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 Influence of skin closure technique on surgical site infection after loop ileostomy reversal: Retrospective cohort study

2013 ◽  
Vol 11 (10) ◽  
pp. 1123-1125 ◽  
Author(s):  
C.D. Klink ◽  
M. Wünschmann ◽  
M. Binnebösel ◽  
H.P. Alizai ◽  
A. Lambertz ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Site Infection ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Loop Ileostomy ◽  
Skin Closure ◽  
Site Infection ◽  
Closure Technique ◽  
Ileostomy Reversal

scholarly journals Loop ileostomy reversal: 5 year experience in an English rural district general hospital

2012 ◽  
Vol 10 (8) ◽  
pp. S30
Author(s):  
Dhya Al-Leswas ◽  
Magdalena Oles ◽  
Daniel Negrea ◽  
Milind Rao
Keyword(s):  
General Hospital ◽  
Loop Ileostomy ◽  
District General Hospital ◽  
Rural District ◽  
Ileostomy Reversal

Loop ileostomy as temporary faecal diversion following total mesorectal excision

2004 ◽  
Vol 8 (2) ◽  
pp. A5-A5
Author(s):  
H.K.M. JEONG ◽  
S.C.W. LAM ◽  
C.Y.W. LAM ◽  
S.H. LAM
Keyword(s):  
Total Mesorectal Excision ◽  
Loop Ileostomy ◽  
Mesorectal Excision ◽  
Faecal Diversion
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