Closure of Loop Ileostomy: A Review of the Evidence for the Practising Surgeon

摘要: Defunctioning loop ileostomy is a common procedure that employed alongside restorative proctocolectomy in both benign and malignant conditions. Once time has elapsed the colonic anastomosis healed, second operation carried out to close restore bowel continuity. The two-stage strategy depends on total morbidity of longer primary procedure, living with ileostomy, closure subsequent rehabilitation being less than associated one-stage alone. main disadvantage risk leak pelvic sepsis. In practice, most surgeons use when they perceive be low high. This paper aims draw together what evidence there surrounding from technical, administrative patient perspectives. aim put issues defunctioning stomas their reversal into perspective order inform surgeon patient, aiding decision-making processes. Conclusion: Closure may only marginal benefit quality life satisfaction. carries significant risks published data concerning rates various complications highly variable. relevant studies are reviewed provide useful information complication for patients, trainees.