Ileostomy revision using noncutting linear stapler.
OBJECTIVE
The study aimed to evaluate the outcome of ileostomy revision for retraction and prolapse using noncutting linear stapler.


METHODS
Forty five patients undergoing a total of 94 stapled revisions between 1.1.1995 and 31.12.2005 were identified by the unique code for stomal revision. Medical records for all patients were examined.


RESULTS
Thirty-five (77.8%) of the 45 patients were women. In 43 (95.6%), the indication was stomal retraction. Median follow-up was 28 months (2-122). One or more stapling procedures resulted in a normal stoma at follow-up in 18 (41.9%) of 43 patients treated for stomal retraction. When other types of repair were included, a normal stoma was achieved in 30 (69.8%) of 43 patients. Patients with a low BMI had the lowest success rate (44%), but none of the possible factors analysed for influence on success had a statistically significant impact. Two patients were treated for prolapse, and both needed other types of revision.


CONCLUSIONS
Stapled ileostomy revision is easy to perform and has a low morbidity. Less than half the patients achieve a satisfactory long-term result after one or more stapling procedures. Many patients still benefit from other types of revision when stapling has failed.
Skaerlund
M-L
ML
Department of Surgery P, Aarhus University Hospital, Tage Hansensgade, Aarhus C, Denmark.
Jacobsen
L
L
Tøttrup
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects* / Q000379:methods; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011336:Probability; D012086:Reoperation / Q000295:instrumentation*; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013528:Surgical Staplers; D017792:Surgical Stapling / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult