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Related Experiment Videos

Ileostomy for constipation: long-term postoperative outcome.

M Scarpa1, M Barollo, M R B Keighley

  • 1Colorectal Unit, Department of Surgery, Queen Elizabeth Hospital, University of Birmingham, UK. marcoscarpa73@yahoo.it

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|April 30, 2005
PubMed
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Ileostomies for severe constipation have a high complication rate, often requiring reoperation. Loop ileostomies created through a trephine are recommended over laparotomy to minimize risks.

Area of Science:

  • Gastroenterology
  • Surgical Outcomes
  • Colorectal Surgery

Background:

  • Idiopathic constipation is a rare indication for ileostomy construction.
  • Evaluating ileostomy success in severe constipation is crucial.

Purpose of the Study:

  • Assess ileostomy success for severe constipation.
  • Analyze surgical complications and re-operation rates.
  • Identify predictors of ileostomy outcomes.

Main Methods:

  • Retrospective analysis of 24 ileostomies for constipation.
  • Examined ileostomy construction methods (bowel resection, laparotomy, trephine).
  • Assessed surgical complications, re-operation rates, and predictive factors.

Main Results:

Related Experiment Videos

  • One patient (4%) had persistent constipation.
  • High complication rate (46%), including retraction (25%), sepsis (12.5%), and hernia (8.1%).
  • End ileostomies and those after bowel resection/laparotomy showed higher complication and re-operation rates.

Conclusions:

  • Ileostomies for constipation present frequent complications, manageable with minor surgery.
  • Loop ileostomies via trephine are preferred over laparotomy for constipation.
  • Careful patient selection is vital for ileostomy in severe constipation.