Current indications for blow-hole colostomy:ileostomy procedure. A single center experience

International Journal of Colorectal Disease
Feza H RemziVictor W Fazio

Abstract

Because of improved medical care and surgical techniques blow-hole colostomy with loop ileostomy is now rarely performed to reduce operative risks in patients with toxic megacolon related to inflammatory bowel disease (IBD). We reviewed patient charts to identify continuing indications for this procedure. Seventeen patients underwent blow-hole colostomy procedure with ( n=15) or without ( n=2) ileostomy (8 men, 9 women; median age 51 years, range 21-79) during the past 18 years (1983-2001). The indications for the procedure were: toxic megacolon related to IBD ( n=6), toxic megacolon related to IBD and associated with pregnancy ( n=2), Clostridium difficile colitis ( n=3), adult Hirschsprung's disease ( n=1), pancreatitis with obstructing pseudocyst ( n=1), and palliation for malignant bowel obstruction with metastases ( n=4). Patients were discharged home after a median stay of 10 days (range 4-32 days). The 4 patients who underwent a palliative blow-hole procedure had died secondary to their underlying disease by the time of follow-up. Of the remaining 13 patients 12 had their alimentary tract reconstituted, and one still awaits a definitive procedure. The blow-hole colostomy-ileostomy procedure is still indicated for select ...Continue Reading

Citations

Sep 24, 2008·World Journal of Gastroenterology : WJG·Sacid CobanVedat Kirimlioglu
Jun 26, 2012·Transplant Infectious Disease : an Official Journal of the Transplantation Society·A CastilloA Bustinza
Jun 19, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S KilleenJ Hartley
Jan 18, 2017·Case Reports in Surgery·Jeroen KerstensPatrick Vanclooster

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