Completely diverted tube ileostomy versus conventional loop ileostomy

Résumé fourni par la source

Abstract Purpose Diverting ileostomies are commonly performed to prevent morbidity and mortality caused by colorecta lanastomotic leakage. However, many complications may develop due to loop ileostomy itself and its reversal. In this study, we aimed to compare the outcomes ofcompletely diverted tube ileostomy and conventional loopileostomy. Methods The study was designed prospectively, and operations were performed by the same surgeon at a single center. Completely diverted tube ileostomy with the rubber strip was performed in 20 consecutive patients and loop ileostomy was performed in the next 20 consecutive patients who needed diverting stoma. Theprimary outcome of the study is to compare the overall complication rates in both techniques. Length of hospital stay, achieving complete diversion, and length of time with a stoma were evaluated as secondary outcomes. Results There were no significant differences in the demographic characteristics between the two groups. Complete diversion was achieved in both groups. The number of patients who developed any kind ofcomplications during the observation period was significantly higher in the loopileostomy group in comparison with tube ileostomy group [13 (65%) vs 3 (15%)respectively, p = 0.002].Median time with stoma was significantly higherin loop ileostomy group compared to tube ileostomy group [270 days (56–443)vs 21 days (14–28) respectively, p < 0.001]. Conclusion Completely diverted tube ileostomy is superior to loop ileostomy for reasons such as lack of need for reversal surgery and fewer complications.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.