Role of ileostomy in restorative proctocolectomy

commentary on laparoscopic restorative proctocolectomy without diverting ileostomy

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...

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...

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...

laparoscopic restorative proctocolectomy without diverting loop ileostomy in patients with familial adenomatous polyposis

background: familial adenomatous polyposis (fap) is a well-known entity for specialistrnand it has near 100% chance of malignant changes if does not managed surgically. in orderrnto reduce the disadvantages of laparatomy and diverting ileostomy we present ourrnresults of laparoscopic total proctocolectomy without diverting ileostomy.rnobjectives: the aim of this study was to present the results...