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Defunctioning loop ileostomy: a prospective audit

G C O'Toole1, J M Hyland, D C Grant

  • 1Coloproctology Unit, St. Vincent's University Hospital, Dublin, Ireland.

Journal of the American College of Surgeons
|January 23, 1999
PubMed
Summary
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Defunctioning loop ileostomies are safe for temporary fecal diversion, with low morbidity during construction and reversal. This procedure is recommended due to its favorable safety profile.

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Colorectal Surgery

Background:

  • Defunctioning loop ileostomies are infrequently utilized for fecal diversion.
  • This study evaluates the morbidity associated with creating and reversing loop ileostomies.

Purpose of the Study:

  • To assess the complications and overall morbidity of loop ileostomy construction.
  • To evaluate the morbidity associated with loop ileostomy reversal.

Main Methods:

  • A retrospective analysis of patients undergoing loop ileostomy construction or reversal from 1990 to 1997.
  • Prospective data collection was employed for all cases.

Main Results:

  • 9% of 102 patients experienced construction complications (e.g., infection, high output, obstruction, stenosis), with only stricture requiring surgery.

Related Experiment Videos

  • 4% of patients undergoing reversal had complications, all necessitating surgical intervention (obstruction, perforation).
  • Most complications were managed conservatively; 84 ileostomies were reversed, and 12 became permanent for unrelated reasons.

    • Conclusions:

    • Defunctioning loop ileostomy demonstrates low overall morbidity.
    • Loop ileostomy is a recommended option for temporary fecal diversion due to its safety profile.