373 Evaluation of the Use of Water-Soluble Contrast Enema (CE) and Flexible Sigmoidoscopy (FS) prior to the Reversal of a Loop Ileostomy
نویسندگان
چکیده
Abstract Aim To evaluate the routine use of CE and FS to check integrity anastomosis prior reversal a loop ileostomy. Method This is single centre retrospective observation study. All patients who underwent ileostomy following low anterior resection for rectal cancer over period five years, were involved in this have patency The primary outcome was investigate if adds clinically relevant information routinely performed by analysing concordance diagnostic test accuracy. Secondary accuracy diagnosis anastomotic stricture Results 116 had both FS. Out these, 110 (94.8%) normal findings on Six abnormal either or Two (1.7%) leak shown study, despite One patient (0.8%) CE. strictures stenosis radiological reports. Conclusions discrepancies between Ce & are minimal. Although it has been suggested previous studies that little value, concurrent as well useful identifying any trivial pre-reversal ileostomy, will be valuable decision making.
منابع مشابه
Routine use of gastrograffin enema prior to the reversal of a loop ileostomy.
BACKGROUND/AIMS Anastomotic failure occurs in up to 10% of patients following anterior resection. Selective use of a loop ileostomy may reduce the septic consequences of anastomotic leak. The use of gastrograffin enema to confirm the anastomotic integrity prior to ileostomy closure is still controversial. Our aim was to determine the impact of the routine use of gastrograffin enema on patients'...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac269.176