title: Loop ileostomy after ileal pouch-anal anastomosis--is it necessary?
abstract: Construction of a loop ileostomy is usually advised in patients having an ileal pouch-anal anastomosis to minimize the complication of chronic pelvic sepsis. Formation and closure of a loop ileostomy was associated with a 41 percent and 30 percent complication rate, respectively, in a prospective series of 34 patients. This morbidity must now be assessed in relation to the benefits of avoiding temporary fecal diversion in restorative proctocolectomy.
authors.affiliation: Department of Surgery and Stoma Care, General Hospital, Birmingham, United Kingdom.
authors.forename: M C
authors.initials: MC
authors.lastname: Winslet
authors.forename: G
authors.initials: G
authors.lastname: Barsoum
authors.forename: W
authors.initials: W
authors.lastname: Pringle
authors.forename: K
authors.initials: K
authors.lastname: Fox
authors.forename: M R
authors.initials: MR
authors.lastname: Keighley
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D003082:Colectomy; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D007082:Ileum / Q000601:surgery*; D007412:Intestinal Fistula / Q000209:etiology; D007415:Intestinal Obstruction / Q000209:etiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012007:Rectum / Q000601:surgery