Continent Ileostomy as an Alternative to End Ileostomy
Joint Authors
Wu, Xianrui
Kiran, Ravi P.
Shen, Bo
Lan, Ping
Ke, Hao-xian
Source
Gastroenterology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-10
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Continent ileostomy (CI) was once a prevalent surgical technique for patients who required total proctocolectomy but then gave way to ileal pouch-anal anastomosis (IPAA) after 1980.
Although IPAA has been the gold standard procedure preferred by most patients when total proctocolectomy is required, due to its imitation of physiological function of rectum and preserved function of anus, various complications have been observed with a relatively high rate of morbidity that could affect pouch longevity.
Once serious complications such as pelvic abscesses and/or fistula occur, the pouch often needs to be removed.
In addition, for some patients with a shortened small intestine or foreshortened mesentery, it is impossible for the ileal pouch to reach the pelvic floor, thus making the creation of an IPAA difficult.
Previously, most of these patients would be referred for an end ileostomy, with an associated poor quality of life.
In this circumstance, we propose that CI may deserve a reappraisal and serve as an alternative.
In this article, we review the indications, contraindications, technique evolution, and outcomes of CI.
American Psychological Association (APA)
Wu, Xianrui& Ke, Hao-xian& Kiran, Ravi P.& Shen, Bo& Lan, Ping. 2020. Continent Ileostomy as an Alternative to End Ileostomy. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1167183
Modern Language Association (MLA)
Wu, Xianrui…[et al.]. Continent Ileostomy as an Alternative to End Ileostomy. Gastroenterology Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1167183
American Medical Association (AMA)
Wu, Xianrui& Ke, Hao-xian& Kiran, Ravi P.& Shen, Bo& Lan, Ping. Continent Ileostomy as an Alternative to End Ileostomy. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1167183
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167183