title: Ileocecal valve-preserving ileostomy after total proctocolectomy--a novel technique for ileostomy.
abstract: BACKGROUND
  Although ileoanal anastomosis has become popular for ulcerative colitis, in an emergency situation patients must undergo ileostomy.
  
  
  OBJECTIVE
  A novel ileocecal valve-preserving ileostomy procedure was devised to reduce high output liquid loss.
  
  
  METHODS
  After total colectomy, the ascending colon was clamped and the terminal ileum and ileocecal valve were isolated from the cecum by dissection. The ileum was then brought out through a conventional ileostomy opening in the abdominal wall.
  
  
  RESULTS
  Two patients with ulcerative colitis underwent ileostomy in this fashion. The stool became solid within 1 week after the start of solid food and their body weight increased by more than 10% 1 year after surgery.
  
  
  CONCLUSIONS
  This novel procedure may result in an improvement in the quality of life of patients who undergo total proctocolectomy.
authors.affiliation: First Department of Surgery, Shimane Medical University, Izumo, Japan. fsurgery@shimane-med.ac.jp
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Nio
authors.forename: Masayuki
authors.initials: M
authors.lastname: Itakura
authors.forename: Kazushige
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Hirahara
mesh_terms: D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D006801:Humans; D007080:Ileocecal Valve; D007081:Ileostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016737:Proctocolectomy, Restorative