title: Double barreled wet colostomy: initial experience and literature review.
abstract: BACKGROUND
  Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been described.
  
  
  METHODS
  A retrospective and observational study of six patients who underwent a pelvic exenteration and urinary tract reconstruction with a double barreled wet colostomy (DBWC) was done, describing the preoperative diagnosis, the indication for the pelvic exenteration, the complications associated with the procedure, and the followup in a period of 5 years. A literature review of the case series reported of the technique was performed.
  
  
  RESULTS
  Six patients had a urinary tract reconstruction with the DBWC technique, 5 male patients and one female patient. Age range was from 20 to 77 years, with a medium age 53.6 years. The most frequent complication presented was a pelvic abscess in 3 patients (42.85%); all complications could be resolved with a conservative treatment.
  
  
  CONCLUSIONS
  In the group of our patients with pelvic exenteration and urinary tract reconstruction with a DBWC, it is a safe procedure and well tolerated by the patients, and most of the complications can be resolved with conservative treatment.
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain ; Instituto de Cirugía Centro Médico Zambrano Hellion-Tec Salud, Batallón de San Patricio 112, Real de San Agustín, 66278 San Pedro Garza García, NL, Mexico ; School of Medicine and Health Sciences, Tecnológico de Monterrey, Mexico.
authors.forename: Luis
authors.initials: L
authors.lastname: Salgado-Cruz
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Eloy
authors.initials: E
authors.lastname: Espin-Basany
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Francesc
authors.initials: F
authors.lastname: Vallribera-Valls
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Jose
authors.initials: J
authors.lastname: Sanchez-Garcia
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Jimenez-Gomez
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Marc
authors.initials: M
authors.lastname: Marti-Gallostra
authors.affiliation: Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain ; School of Medicine and Health Sciences, Tecnológico de Monterrey, Mexico.
authors.forename: Ana
authors.initials: A
authors.lastname: Garza-Maldonado
mesh_terms: D000328:Adult; D000368:Aged; D003125:Colostomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000601:surgery; D055815:Young Adult