Sigmoidoscopy-assisted colostomy--an adapted trephine stoma formation.
OBJECTIVE
The purpose of this article was to report an adapted colostomy procedure that can be used on patients with multiple morbidities requiring fecal diversion.


METHODS
An adapted colostomy was performed on a patient needing fecal diversion who had multiple surgical and medical complications.


RESULTS
Thirteen weeks after colostomy placement, the patient's colostomy functioned well and was viable throughout his course without related complications.


CONCLUSIONS
The method of sigmoidoscopy-assisted colostomy described here can be beneficial to the complicated patient needing fecal diversion but unable to tolerate a laparotomy or laparoscopy.
Department of Surgery, University of Minnesota, Minn., USA. beilm001@tc.umn.edu
Greg J
GJ
Beilman
Gary M
GM
Jonson
D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure; D003668:Pressure Ulcer / Q000601:surgery; D012812:Sigmoidoscopy