The use of an ileostomy connector to diminish the frequency of defecation prior to ileostomy closure in patients with a pelvic pouch.
A new method for allowing stool passage into the pelvic pouch before ileostomy closure to verify the defecation state and diminish stool frequency is reported herein. This was accomplished by fitting an ileostomy connector connecting the proximal and distal openings of the diverting loop stoma. The ileostomy connector was initially in place for 6 h a day, the length of time being gradually increased until it was able to be left in for 24 h a day over a 3-month period. The calculated daily frequency of stools decreased from 24 to 6 or 7 times, and the mean daily frequency immediately after ileostomy closure was 6.5 times. Physiological study also showed an improvement, with squeeze pressure increasing from 35 cmH2O to 116 cmH2O and the maximum tolerated volume increasing from 35 ml before, to 90 ml 3 months following the use of an ileostomy connector. Thus, we conclude that an ileostomy connector may be useful to predict postoperative functional outcome and its complications, and to diminish the frequency of defecation before ileostomy closure in patients with a covering loop stoma.
Maeda
K
K
Department of Surgery, Social Insurance Saitama Chuo Hospital, Japan.
Hashimoto
M
M
Koh
J
J
Yamamoto
O
O
Hosoda
Y
Y
Morikawa
Y
Y
D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery*; D003672:Defecation / Q000502:physiology*; D006801:Humans; D007081:Ileostomy; D008297:Male; D016737:Proctocolectomy, Restorative / Q000295:instrumentation* / Q000379:methods*; D011379:Prognosis; D016896:Treatment Outcome