Temporary Decompression after Colorectal Surgery Comparison of Loop Ileostomy and Loop Transverse Colostomy

K.S. Al-Shadydy, Ibtesam

	Temporary Decompression after Colorectal Surgery Comparison of Loop Ileostomy and Loop Transverse Colostomy
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 21, Issue 4, 2008, Pages 339-343
Author
Ibtesam K.S. Al-Shadydy
Abstract
Objective: The aim of this study was to compare loop ileostomy and loop transverse colostomy as the preferred mode of faecal diversion following anterior resection with transected mesorectum for rectal cancer. Methods: Patients who required proximal diversion after anterior resection with transected mesorectal excision were randomized to have either a loop ileostomy or loop transverse colostomy. Post operative morbidity, stoma-related problems and morbidity following closure were compared. Results: From April 1995 to November 1999. 18-patients had a loop ileostomy and 12-had a loop transverse colostomy constructed following anterior resection for rectal cancer. Post operative intestinal obstruction and prolonged ileus occurred more commonly in patients with an ileostomy (P=0.036). There was no difference in time to resumption of diet, length of hospital stay following stoma closure and incidence of stoma related complications after discharge from hospital. A total of five patients had intestinal obstruction from the time of stoma creation to stoma closure (four following ileostomy and one following colostomy). Conclusion: Intestinal obstruction and ileus are more common after loop ileostomy than loop colostomy. Loop transverse colostomy should be recommended as the preferred method of proximal faecal diversion. Key words: Ileostomy, Transverse colostomy. Faecal diversion.
Keywords
Ileostomy; Transverse colostomy; Faecal diversion

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