Defunctioning Ileostomy Following Restorative Proctocolectomy

Defunctioning loop ileostomy with restorative proctocolectomy for rectal cancer: Friend or foe?

Objectives: Temporary ileostomy is used to decrease morbidity from anastomotic leakages (ALs). However, ileostomies are associated with complications (i.e., stoma-related complications; SRCs), ileus due to stenosis, dehydration, and the need for a second operation. Here we retrospectively evaluated the impact of SRCs on the treatment of rectal cancer. Methods: We identified 180 consecutive pati...

Comparison of outcomes after restorative proctocolectomy with or without defunctioning ileostomy.

OBJECTIVE To evaluate postoperative adverse events and functional outcomes of patients undergoing restorative proctocolectomy with or without proximal diversion. DATA SOURCES The literature was searched by means of MEDLINE, Embase, Ovid, and Cochrane databases for all studies published from 1978 through July 15, 2005. STUDY SELECTION Comparative (randomized and nonrandomized) studies evalua...

commentary on laparoscopic restorative proctocolectomy without diverting ileostomy

Adverse metabolic sequelae following restorative proctocolectomy with an ileal pouch.

Ileal pouch-anal anastomosis (IPAA) following total proctocolectomy has become the surgical treatment of choice for ulcerative colitis patients who have medically refractory disease or neoplasia. Unfortunately, various metabolic complications have been reported with this surgical procedure, including anemia, vitamin B(12) deficiency, bile salt and fat malabsorption, vitamin D deficiency, bone l...

Closure of loop ileostomy after low anterior rectal resection and restorative proctocolectomy.

OBJECTIVE Low pelvic anastomoses are associated with a high leak rate. Loop ileostomies are commonly performed during ileoanal and coloanal anastomoses. This study was undertaken to review our experience with loop ileostomy closure after low anterior rectal resection and restorative proctocolectomy. PATIENTS AND METHODS One hundred sixty five patients undergoing loop ileostomy closure at a si...