Diverting ostomy with pouch procedure: "causes more morbidity than it prevents!".
Temporary diverting ileostomies are routine performed as a "protective" adjunct to ileal pouch procedures. The need for routine diverting ileostomies has been challenged because of the risks associated with their management. A review of the available data and my personal experience demonstrates that diversion results in lower pouch leaks but a higher instance of pouch failure and strictures. The creation of ileal pouches without an ileostomy is preferable under selective conditions with quite acceptable results.
Koruda
Mark J
MJ
University-North Carolina Med, Chap Hill, NC, USA. koruda@med.unc.edu
D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000009:adverse effects; D039021:Colonic Pouches / Q000009:adverse effects*; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D007082:Ileum / Q000601:surgery*; D016737:Proctocolectomy, Restorative / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment