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Loop ileostomy is a safe option for fecal diversion
S D Wexner1, D A Taranow, O B Johansen
1Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale.
Diseases of the Colon and Rectum
|April 1, 1993
Summary
Temporary loop ileostomy is a safe method for fecal diversion, with low complication rates and no mortality. This procedure is well-tolerated, with most patients experiencing uneventful recovery after stoma closure.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Temporary loop ileostomy is frequently used for fecal diversion.
- Assessing morbidity and mortality associated with this procedure is crucial for patient care.
Purpose of the Study:
- To prospectively evaluate all morbidity and mortality linked to temporary loop ileostomy.
Main Methods:
- Prospective assessment of 83 consecutive patients undergoing temporary loop ileostomy.
- Data collection on reasons for diversion, duration, closure methods, and complications.
Main Results:
- Nine complications (10.8%) occurred in 83 patients, with most requiring hospitalization.
- Common complications included dehydration and electrolyte abnormalities; anastomotic leaks healed conservatively.
- No stomal ischemia, hemorrhage, prolapse, or mortality was observed.
Conclusions:
- Temporary loop ileostomy is a safe and effective method for fecal diversion.
- The procedure is associated with a low morbidity rate and no mortality.