Akademik Veri Yönetim Sistemi
Ist Turkish International Colorectal Surgery Congress, Antalya, Türkiye, 30 Kasım - 04 Aralık 2021, ss.19, (Özet Bildiri)
Completely diverted tube ileostomy versus conventional loop ileostomy
Alisina Bulut*, Waf Attaallah
Marmara University, Faculty of Medicine, Department of General Surgery, Istanbul, Turkey
Background: Diverting ileostomies are performed to prevent morbidity andmortality caused by anastomotic leakage. However, many complications may develop due to loop ileostomy and its reversal. We aimed to compare the results of completely diverted tube ileostomy and loop ileostomy.
Methods: Te study was designed prospectively and operations were performed by the same surgeon at a single center. Completely diverted tube ileostomy was performed in 20 consecutive patients and loop ileostomy was performed in the next 20 consecutive patients who needed diverting stoma. The primary outcome of the study was to compare the overall complication rates. Length of hospital stay, cost-efectivity, achieving complete diversion and length of time with a stoma were evaluated as secondary outcomes.
Results: Tere were no signifcant diferences between the demographic characteristics. Complete diversion was achieved in both groups. Overall complications were signifcantly higher in the loop ileostomy group [p=0.002]. Median time with a stoma was statistically higher in the loop ileostomy group [p<0.001].
Conclusion: Completely diverted tube ileostomy is superior to loop ileostomy for reasons such as lack of need for reversal surgery, fewer complications, and provides a signifcant cost advantage.
Keywords: Tube ileostomy, Loop ileostomy