Loop ileostomy after ileal pouch-anal anastomosis--is it necessary?

Winslet, M C; Barsoum, G; Pringle, W; Fox, K; Keighley, M R · Dis Colon Rectum · 1991

case_series · Level IV

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Abstract

Construction of a loop ileostomy is usually advised in patients having an ileal pouch-anal anastomosis to minimize the complication of chronic pelvic sepsis. Formation and closure of a loop ileostomy was associated with a 41 percent and 30 percent complication rate, respectively, in a prospective series of 34 patients. This morbidity must now be assessed in relation to the benefits of avoiding temporary fecal diversion in restorative proctocolectomy.

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