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Ileocecal valve-preserving ileostomy after total proctocolectomy--a novel technique for ileostomy
Yoshinori Nio1, Masayuki Itakura, Kazushige Yamaguchi
1First Department of Surgery, Shimane Medical University, Izumo, Japan. fsurgery@shimane-med.ac.jp
Background:
Although ileoanal anastomosis has become popular for ulcerative colitis, in an emergency situation patients must undergo ileostomy.
Aim:
A novel ileocecal valve-preserving ileostomy procedure was devised to reduce high output liquid loss.
Method:
After total colectomy, the ascending colon was clamped and the terminal ileum and ileocecal valve were isolated from the cecum by dissection. The ileum was then brought out through a conventional ileostomy opening in the abdominal wall.
Results:
Two patients with ulcerative colitis underwent ileostomy in this fashion. The stool became solid within 1 week after the start of solid food and their body weight increased by more than 10% 1 year after surgery.
Conclusion:
This novel procedure may result in an improvement in the quality of life of patients who undergo total proctocolectomy.
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