title: Transcaecal ileal diversion in the management of the 'at risk' distal colonic anastomosis.
abstract: Transcaecal ileal diversion has been used in association with primary resection and anastomosis to defunction an elective distal colonic anastomosis in 10 patients and to allow on-table colonic lavage with subsequent colonic defunction in 11 patients presenting as an emergency with distal colonic obstruction. Post-operative wound sepsis occurred in four patients (19%) with a clinical anastomotic leak in one patient. The median hospital stay was 14 (10-19) days. Transcaecal ileal diversion is simple to perform. It may facilitate primary resection and anastomosis in both the elective and emergency situation without increasing morbidity, mortality or the hospital stay.
authors.affiliation: Department of Surgery, Dudley Road Hospital, Birmingham, UK.
authors.forename: M C
authors.initials: MC
authors.lastname: Winslet
authors.forename: P
authors.initials: P
authors.lastname: Cooke
authors.forename: M L
authors.initials: ML
authors.lastname: Obeid
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods / Q000706:statistics & numerical data; D002432:Cecum / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D004766:Enterostomy / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology; D007507:Therapeutic Irrigation / Q000379:methods