[Endoscopy-assisted sigmoidostomy].
BACKGROUND
Formation of sigmoidostoma in order to establish temporary or permanent faecal diversion is a well-known procedure. In recent years an increasing number of centres have carried out laparoscopically-assisted stoma formation instead of the traditional laparotomy. Endoscopically-assisted sigmoidostoma formation is a less well-known and less technically challenging technique.


METHODS
At the gastroenterology department (Gastroenheden), Hvidovre Hospital, Denmark, we have performed 24 endoscopically-assisted sigmoidostoma formations since June 2003. The study was done retrospectively.


RESULTS
24 patients were treated with endoscopically-assisted sigmoidostoma formation. The procedure was attempted in further 5 incidences without success, and conversion was necessary. In 3 cases stoma revision was needed afterwards and performed by local procedure without laparatomy. 1 patient with T3 rectal cancer died on the 6th postoperative day.


CONCLUSIONS
Endoscopically-assisted sigmoidostoma formation is a minimal invasive procedure, which is technically simple. In our opinion, the procedure is at least equivalent to laparoscopically-assisted sigmoidostoma formation. We recommend endoscopically-assisted sigmoidostoma formation for patients where sigmoidostomy is necessary, and where there is no other need for laparotomy and the means of conversion to laparotomy or laparoscopy are available.
Hvidovre Hospital, Gastroenheden. videnskab@breum.dk
Birger Michael
BM
Breum
Steen Christian
SC
Kofoed
Jan
J
Skovdal
Carl Frederik
CF
Nagell
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D012812:Sigmoidoscopy