Avoidance of a colostomy by nutritional techniques.
Total parenteral nutrition or elemental diet has frequently replaced the use of a proximal stoma. Since 1969, data on patients receiving these non-residue nutritional methods have been collated daily; there were 63 patients where the surgeon believed that a proximal stoma would otherwise have been indicated. In 35 patients, these methods were used prophylactically perioperatively and in 28 patients, they were instituted postoperatively after complications occurred; in both groups, there was a very high rate of successful outcome. Modern nutritional support avoided fecal bulk while maintaining nutrition, and appeared to accomplish the equivalent of a diverting proximal stoma with considerable success in other than Crohn's disease.
D003108:Colonic Diseases / Q000601:surgery / Q000628:therapy*; D003125:Colostomy; D005260:Female; D006801:Humans; D007081:Ileostomy; D007412:Intestinal Fistula / Q000601:surgery / Q000628:therapy; D007430:Intraoperative Care; D008297:Male; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care; D012006:Rectovaginal Fistula / Q000601:surgery / Q000628:therapy