The morbidity of defunctioning stomata

The Australian and New Zealand Journal of Surgery
F Chen, M Stuart

Abstract

The choice of a defunctioning stoma in restorative resection of rectal carcinoma is unclear. Traditionally, the loop colostomy has been preferred. All patients with either a defunctioning loop ileostomy or colostomy treated by a single surgeon (MS) were studied. The morbidity of stoma construction and closure, as well as problems experienced in the intervening period, were entered on a database. No significant difference in the morbidity of closure was noted when loop ileostomy was compared to loop colostomy. Although a trend favouring loop ileostomy was noted when interval morbidity was examined, this difference was not statistically significant. Loop colostomy and ileostomy are both effective in defunctioning the distal colon following a restorative resection for rectal carcinoma. There is some morbidity associated with both but when a stoma is constructed, loop ileostomy is preferable. The loop ileostomy is generally easier to manage and is not associated with a greater rate of complications (in its construction and closure) than the loop colostomy.

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Citations

Nov 5, 2004·International Journal of Colorectal Disease·Richard John EnglandShwan Niazi Amin
Feb 18, 2009·International Journal of Colorectal Disease·Andre ChowSanjay Purkayastha
Mar 14, 2007·World Journal of Surgery·Henry S TilneyParis P Tekkis
Mar 1, 2012·World Journal of Surgery·Aneel BhanguUNKNOWN West Midlands Research Collaborative
Jan 31, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Aneel BhanguUmair Janjua
Jan 16, 2010·Cirugía española·Gloria Tadeo-RuizMaría-Luz Herrero-Bogajo
Jan 31, 2015·Langenbeck's Archives of Surgery·Mark H HannaAlessio Pigazzi
Aug 17, 2004·Digestive Surgery·R BakxJ J B van Lanschot
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May 26, 2007·Diseases of the Colon and Rectum·Jung Wook HuhSeung Kook Sohn
Sep 28, 2010·The British Journal of Surgery·P NastroP J Lunniss
Aug 17, 2018·Annals of the Royal College of Surgeons of England·Tam MalikA B Harikrishnan
Mar 10, 2015·Diseases of the Colon and Rectum·Samantha HendrenJanice Rafferty
Jan 15, 2019·Journal of the American College of Surgeons·William C ChapmanPaul E Wise

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