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Colonoscopy-assisted colostomy--an alternative to laparotomy: report of two cases
A Mukherjee1, V A Parikh, P S Aguilar
1Division of Colon and Rectal Surgery, Grant Medical Center, Columbus, Ohio 43215, USA.
Purpose:
The objective of this study was to evaluate the feasibility of performing fecal diversion with the help of a colonoscope without a concomitant laparotomy.
Methods:
Colostomies were performed on two patients who needed fecal diversion and who would benefit from avoiding the morbidity of laparotomy. A colonoscope was used in each case to guide the surgeon in selecting the appropriate bowel segment.
Results:
No complications related to the colostomy were noted in either patient.
Conclusions:
The technique of colonoscopy-assisted colostomy that we have described offers an acceptable method of creating a stoma without the need for laparotomy.