title: The modified Altemeier procedure for a loop colostomy prolapse.
abstract: Loop colostomy prolapse is associated with an impaired quality of life. Surgical treatment may sometimes be required for cases that cannot be closed by colon colostomy because of high-risk morbidities or advanced disease. We applied the Altimeter operation for patients with transverse loop colostomy. The Altemeier operation is therefore indicated for rectal prolapse. This technique involves a simple operation, which includes a circumferential incision through the full thickness of the outer and inner cylinder of the prolapsed limb, without incising the abdominal wall, and anastomosis with sutures using absorbable thread. We performed the Altemeier operation for three cases of loop stomal prolapse. Those patients demonstrated no postoperative complications (including obstruction, prolapse recurrence, or hernia). Our findings suggest that this procedure is useful as an optional surgical treatment for cases of transverse loop colostomy prolapse as a permanent measure in patients with high-risk morbidities or advanced disease.
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan. m-watanabe@med.showa-u.ac.jp.
authors.forename: Makoto
authors.initials: M
authors.lastname: Watanabe
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Murakami
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Ozawa
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Marie
authors.initials: M
authors.lastname: Uchida
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Kimiyasu
authors.initials: K
authors.lastname: Yamazaki
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Fujimori
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Otsuka
authors.affiliation: Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 1428666, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Aoki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D044684:Colon, Transverse / Q000601:surgery*; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery*; D003125:Colostomy / Q000009:adverse effects*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011391:Prolapse
keywords: Loop colostomy prolapse; Modified Altemeier procedure; Stomal prolapse