A new technique of completely diverted tube ileostomy for protection of colorectal anastomosis

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Bulut A.

EUROPEAN SOCIETY OF COLOPROCTOLOGY THIRTEENTH SCIENTIFIC MEETING, Nice, Fransa, 26 - 28 Eylül 2018, ss.54, (Özet Bildiri)

Özet

P122

A new technique of completely diverted tube ileostomy for protection of colorectal anastomosis

W. Attaallah, A. Bulut, T. K. Uprak & C. Yegen

Marmara University School of Medicine, Department of General Surgery, Istanbul, TURKEY, Istanbul, Turkey

Aim: The study was designed to evaluate a new completely diverted tube ileostomy by temporary occlusion of distal ileal limb to defunction the anastomosis.

Method: Patients who had indication for defunctioning ileostomy with elective surgery were included. After resection and anastomosis tube ileostomy was created by using spiral endotracheal tube to prevent kinking. In order to provide a complete fecal diversion, a penrose drain was used for occlusion the distal ileal limb. The primary measured outcomes were the rate of complete diversion in the presence of penrose drain. Evaluating fistula closure after tube removal.

Results: From June 2016 to April 2018, thirty-nine patients had a completely diverted tube ileostomy. There was no stool passage per rectum for 2 weeks while the penrose drain was not removed. Passage happened after penrose drain removal in %80 of the patients (n:31) and happened after penrose and subsequently tube removal in %20 (n:8) of the patients. Tube was removed on day 23 (17–34) and the subsequent stoma closure time was 6 (2–30) days.

Conclusion: The completely diverted tube ileostomy by using easy removable penrose drain to defunction the colorectal anastomosis is a safe and effective and avoids a formal stoma