Ileocecal valve-preserving ileostomy after total proctocolectomy--a novel technique for ileostomy.
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.
Nio
Yoshinori
Y
First Department of Surgery, Shimane Medical University, Izumo, Japan. fsurgery@shimane-med.ac.jp
Itakura
Masayuki
M
Yamaguchi
Kazushige
K
Hirahara
Noriyuki
N
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