Safety of the temporary loop ileostomy
2002 (English)In: Colorectal Disease, ISSN 1462-8910, Vol. 4, no 5, 361-364 p.Article in journal (Refereed) Published
Objective. To evaluate the complications of the temporary loop ileostomy. Method. A retrospective study of 222 consecutive patients with low anterior resection, ileal pouch-anal anastomosis or continent ileostomy and a diverting loop ileostomy routinely fashioned during the primary operation. The loop ileostomy was closed in 213 patients (96%) during the minimum follow-up period of 15 months. Results. Four patients (2%) required preterm closure of the ostomy due to stomal retraction (n = 3) or bowel obstruction (n = 1). Four patients were readmitted due to transient bowel obstruction that resolved without surgery. After closure of the loop ileostomy a total of 27 patients (13%) had complications. In 7 patients emergency re-operation was done due to small bowel obstruction (n = 5) or intra-abdominal abscess (n = 2). Elective re-operation was done in 5 patients for hernia at the site of the previous stoma. Despite the use of a loop ileostomy there was 1 postoperative death after the initial operation in consequence of anastomotic leakage. There was 1 death in consequence of closure of the loop ileostomy after 3 weeks due to intra-abdominal sepsis and heart failure. Conclusion. In this series closure of the ostomy was associated with one death (0.5%) and overall ostomy-related morbidity included the need to re-operate in 6%.
Place, publisher, year, edition, pages
2002. Vol. 4, no 5, 361-364 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-25048DOI: 10.1046/j.1463-1318.2002.00398.xLocal ID: 9476OAI: oai:DiVA.org:liu-25048DiVA: diva2:245374