Experience with 26 reservoir ileostomies

Area of Science:

• Gastroenterology
• Surgical Innovation
• Patient Outcomes

Background:

• Reservoir ileostomies are surgical procedures to manage fecal diversion.
• Continence is a significant challenge in ileostomy management.

Purpose of the Study:

• To review personal experiences with reservoir ileostomies.
• To evaluate the efficacy of intussusception valves in improving continence.

Main Methods:

• Review of 26 cases of reservoir ileostomies.
• Analysis of operative outcomes, including complications and continence rates.
• Comparison of outcomes with and without intussusception valves.

Main Results:

• No operative deaths occurred in 26 cases.
• 3 patients developed non-fatal faecal fistulas.
• 6 reservoirs were removed due to various complications.
• Continence was achieved in 9 of 15 patients with an intussusception valve.
• 2 patients with valves experienced stomal intubation difficulties.

Conclusions:

• Intussusception valves significantly improve continence in reservoir ileostomies.
• Careful patient selection and surgical technique are crucial.
• Potential complications necessitate thorough patient counseling and follow-up.