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Catheterization of Intestinal Loops in Ruminants

Catheterization of Intestinal Loops in Ruminants

Published on: June 11, 2009

The unopened loop ileostomy.

Woodcock¹, Qureshi, Macfie

¹Department of Surgery, Scarborough Hospital, Scarborough, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|April 13, 2013

Summary

An unopened loop ileostomy, an alternative to conventional ileostomies for protecting colorectal anastomoses, was evaluated. This small study found it associated with significant morbidity and does not support its routine use.

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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

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Area of Science:

Colorectal surgery
Surgical outcomes
Anastomotic leak prevention

Background:

Defunctioning loop ileostomies protect distal colorectal anastomoses.
Conventional ileostomy creation and closure can lead to significant morbidity.
An alternative approach using an unopened loop ileostomy was investigated.

Purpose of the Study:

To evaluate the efficacy and safety of an unopened loop ileostomy.
To compare its complication rate and closure ease with conventional ileostomies.

Main Methods:

Patients undergoing colorectal resection with distal anastomosis received an unopened loop ileostomy.
Complications and ease of closure were prospectively recorded.

Main Results:

Seven out of 12 patients (58%) experienced complications.
Five patients had difficulty with ileal loop replacement.
One patient developed a wound abscess and pseudomembranous colitis.

Conclusions:

The unopened loop ileostomy was associated with a high complication rate in this small cohort.
The study does not support the routine use of unopened loop ileostomies for high-risk colorectal anastomoses.