Role of Covering Ileostomy in Causation of Anastomotic Strictures in Low Anterior Resections for Rectum Carcinoma

Abstract Background Colorectal resection anastomosis is the commonest cause of rectal strictures. Anastomotic site ischemia, incomplete doughnuts from stapled and pelvic infection, are some risk factors that play a role in development postoperative However, diverting stoma strictures has not been studied extensively. Objectives To study difference occurrence anastomotic (AS) patients submitted to low anterior (LAR) with covering ileostomy (CI), LAR without CI for carcinoma rectum. Methods This was prospective, comparative case control carried out at tertiary care referral center. Low performed rectum group, while group. The group had 29 patients, 33 carcinoma. Results During mean follow-up period 9.1months, 8 (28%) 2 (6%) developed AS (p =0.019). Out these 50% Grade-I AS, 25% Grade-II Grade-III (severe) AS. both who mild type (Grade I) Conclusion Covering increases chances formation after Also, SKIMS Clinical Grading Rectal Strictures simple handy tool available every surgeon grade, classify monitor