Defunctioning loop ileostomy and stapled side-to-side closure has low morbidity.

摘要: INTRODUCTION: Low pelvic anastomoses are associated with a high leak rate. Therefore, defunctioning loop ileostomies being increasingly fashioned to protect against the consequences of leak. However, reported complication rates such stoma creation and closure is between 5.7-69%. AIMS: To determine outcome construction side-to-side in one specialist unit. PATIENTS AND METHODS: Data were obtained from computer audit case note analysis. RESULTS: Between 1994 1998, 71 patients (41 M, 30 F) median age 51 years (range 19-88 years) had ileostomy constructed for: (i) 26 ileoanal pouches; (ii) 36 left colonic rectal resections; (iii) 9 for other reasons. Side-to-side was achieved using GIA linear stapler through parastomal incision. The hospital stay following 12 days 7-63 days) 7 6-16 days). time 140 10-790 There no ileostomy-related deaths. 10 (13.8%) complications, 4 6 closure. CONCLUSIONS: Loop easy create close low morbidity. we recommend as procedure choice temporary faecal diversion complex colorectal surgery.