title: Feasibility of umbilical loop ileostomy in overweight and obese patients with rectal cancer during laparoscopic surgery: Preliminary results.
abstract: We examined the feasibility of umbilical diverting ileostomy for overweight and obese patients with rectal cancer undergoing laparoscopic surgery. Four patients who were overweight or obese (BMI > 27 kg/m2) were initially scheduled for the creation of a conventional loop ileostomy. Intraoperatively, however, this was considered too complicated because of thick subcutaneous fat, bulky mesentery, or both. Instead, patients received a diverting ileostomy with the placement of an umbilical stoma. All patients had protruding umbilical ileostomies. No severe stoma-related complications were encountered. One patient had minor skin dehiscence, and another had paralytic ileus but resumed oral intake after a short time. Performing a temporary loop ileostomy at the umbilicus was safe and feasible in this small group of overweight and obese patients. This stoma placement may avoid the problems inherent to conventional loop ileostomy in obese subjects.
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Ishiguro
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Shunichiro
authors.initials: S
authors.lastname: Komatsu
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ando
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Osawa
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Yasui
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Arikawa
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Norifumi
authors.initials: N
authors.lastname: Ohashi
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Miyachi
authors.affiliation: Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Sano
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009765:Obesity / Q000150:complications; D050177:Overweight / Q000150:complications*; D012004:Rectal Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*
keywords: Laparoscopic surgery; obesity; umbilical ileostomy