From creation to closure: Beware the defunctioning loop ileostomy

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[Effectiveness of afferent loop stimulation prior to ileostomy closure].

We have read with great interest the article by Abrisqueta, entitled Afferent loop stimulation prior to ileostomy closure. We report the case of a 55-year-old female patient who, during the diagnostic process of rectal tenesmus and bleeding, was diagnosed with a rectal adenocarcinoma measuring 3 cm, located 5 cm from the anal margin with concentric involvement, and 3 nodules in the mesorectal f...

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Routine barium enema prior to closure of defunctioning ileostomy is not necessary

PURPOSE The use of barium enemas to confirm the anastomotic integrity prior to ileostomy closure is still controversial. The purpose of the study was to determine the utility of routine contrast enema prior to ileostomy closure and its impact on patient management in patients with a low pelvic anastomosis. METHODS One hundred forty-five patients had a temporary loop ileostomy constructed to p...

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[Morbidity and mortality associated to loop colostomy and ileostomy closure].

OBJECTIVE To evaluate the morbidity and mortality of operations for closure of loop colostomies and ileostomies. METHODS We analyzed epidemiological data, postoperative complications, morbidity and mortality of patients who underwent operations for closure of loop colostomies and ileostomies. We excluded patients whose data could not be obtained from the files and operations that required lap...

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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...

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ژورنال

عنوان ژورنال: International Journal of Surgery

سال: 2013

ISSN: 1743-9191

DOI: 10.1016/j.ijsu.2013.06.236