[Ileostomy versus colostomy as temporary deviation stoma in relation to stoma closure].
Between January 1, 1982 and June 30, 1987 a total of 122 patients suffering colorectal cancer (n = 88) or diverticulitis of the colon (n = 24) underwent surgery for construction of a transient defunctioning stoma. Closure of the stomata was performed in 71 of the 79 ileostomies (89.9%) and in 36 of the 43 colostomies (83.7%). Regarding sex, age and primary surgical treatment both patient groups were very well comparable. However there were clear differences with regard to closure of the stomatas: Complications following closure occurred in 22.5% of the ileostomies but only in 5.6% of the colostomies. Also lethality was markedly increased following closure of the ileostomies (5.6%) as compared to closure of the colostomies (0%). These results show that ileostomy is a technically complicated procedure and the indication for a transient ileostomy therefore should be made carefully.
Göhring
U
U
Chirurgische Klinik und Poliklinik, Ruprecht-Karls-Universität Heidelberg.
Lehner
B
B
Schlag
P
P
D015179:Colorectal Neoplasms / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D004239:Diverticulitis, Colonic / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012307:Risk Factors
Ileostomie versus Colostomie als passageres Deviationsstoma unter dem Aspekt der Stomarückverlagerung.