Modification of end-loop ileostomy for the treatment of ischemic or radiation enteritis.
OBJECTIVE
To evaluate a new technique of temporary ileal anastomotic stoma, following small bowel resection, in patients where the anastomosis is anticipated to have borderline margins with dubious viability.


METHODS
Five patients underwent enterectomy and partially anastomosed end-loop ileostomy at the University Hospital of Larissa between 2000 and 2006. Enterectomy was performed because of conditions such as mesenteric vascular occlusive disease, radiation entritis and small bowel injury.


RESULTS
Postoperatively, none of the patients developed any stoma-related or anastomotic complications. There were no major complications. All patients were discharged between the 8th and 15th day after the procedure, and the stoma was closed 3 wk to 4 wk later.


CONCLUSIONS
We believe that our proposed modification of end-loop ileostomy is a simple, quick and safe technique with minimal stoma-related morbidity, and with simple and safe reversion. This technique can be considered as a useful option in the treatment of ischemic or radiation-induced enteritis, and in the management of severe intestinal trauma.
Tepetes
Konstantinos
K
University of Thessaly, University Hospital of Larissa, Larissa 41100, Greece. ktepetes@yahoo.co.uk
Liakou
Paraskevi
P
Balogiannis
Ioannis
I
Kouvaraki
Maria
M
Hatzitheofilou
Konstantinos
K
D000368:Aged; D000714:Anastomosis, Surgical; D004751:Enteritis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000601:surgery; D007081:Ileostomy / Q000009:adverse effects / Q000379:methods*; D007082:Ileum / Q000098:blood supply / Q000293:injuries / Q000601:surgery*; D007415:Intestinal Obstruction / Q000150:complications* / Q000601:surgery; D007511:Ischemia / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome