Akademik Veri Yönetim Sistemi
XVIII. Türk Kolon ve Rektum Cerrahisi Kongresi, Antalya, Türkiye, 30 Kasım - 04 Aralık 2021, ss.62, (Özet Bildiri)
Completely Diverted Tube Ileostomy, Long Term Results
Wafi Attaallah, Orkhan Verdiyev, Alisina Bulut, Cumhur Yeğen
Marmara University School of Medicine, Istanbul, Turkey
Background: Protective stoma is common used. We aimed to introduce long term outcomes of our tube ileostomy technique.
Methods: In this prospective study, to protect the distal anastomosis we used tube ileostomy technique that we developed instead of loop ileostomy. Diversion obtained by a spiral endotracheal tube and occlusion of the distal ileum by rubber band which was removed on the 7th postoperative day and the tube was removed on the 14th postoperative day. Primary outcome was the rate of completely diversion which was described as absence of gas and stool passage with absence of fecal peritonitis during the diversion.
Results: Tube ileostomy was performed for 85 patients. The median age was 61 (31-82). Anastomotsis leakage occurred in 17 (20%) patients. However, none of them experienced fecal peritonitis. Furthermore there was no gas and defecation during the diversion period in any patient. End colostomy was performed for only 7 (8%) patients due to completely disruption of the anastomosis. Thus after a median follow-up period of 37 (3-61) months, a total of 78 (92%) patients were underwent surgery without conventional protective stoma.
Conclusions: The tube ileostomy technique we described is an effective and safe to provide complete fecal diversion instead of conventional ileostomy.
Keywords: complete faecal diversion, tube ileostomy