Closure of loop ileostomy after restorative proctocolectomy.
The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated recovery. One patient (3%) developed a superficial wound infection. Enterocutaneous fistula was not encountered. Small bowel obstruction occurred in three patients (8%) two of whom required a further laparotomy, but subsequently made an uncomplicated recovery. No incisional hernias were identified at follow-up. We conclude that loop ileostomy closure can be achieved with a low morbidity which should not preclude the use of this stoma in restorative proctocolectomy.
Lewis
P
P
University Department of Surgery, Bristol Royal Infirmary.
Bartolo
D C
DC
D000293:Adolescent; D000328:Adult; D000368:Aged; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D006801:Humans; D007081:Ileostomy; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012007:Rectum / Q000601:surgery; D012086:Reoperation; D013530:Surgical Wound Infection / Q000209:etiology