A comparison of complications associated with colostomy reversal versus ileostomy reversal - 18/08/11
, Elizabeth Hamilton, M.D. a, b, Jason Fleming, M.D. a, b, Fiemu Nwariaku, M.D. a, b, George Sarosi, M.D. a, b, Thomas Anthony, M.D. a, b
Corresponding author. Tel.: +1-214-857-1800; fax: +1-214-857-1891.Abstract |
Background |
The incidence of complications after reversal of Hartmann’s procedure is unknown. This study compares the morbidity of Hartmann’s reversal versus loop ileostomy reversal.
Methods |
Two groups of 20 patients were studied retrospectively over a 5-year period. One group underwent Hartmann’s takedown, and the other underwent loop ileostomy takedown. Postoperative complications were compared between the 2 groups.
Results |
Similar demographics were noted between each group. The most common initial indications for Hartmann’s procedure were diverticulosis (11 patients, 55%) and colon cancer (4 patients, 20%). For patients who had undergone colectomy with primary anstomosis and ileostomy, colon cancer was the most common indication (12 patients, 60%) followed by diverticulosis (3 patients, 15%). Complications were more common after Hartmann reversal than loop ileostomy reversal (16 complications/11 patients versus 6 complications/4patients, P = .047).
Conclusion |
Segmental colonic excision with anastomosis and loop ileostomy may be an attractive alternative to minimize morbidity with stoma reversal.
Le texte complet de cet article est disponible en PDF.Keywords : Hartmann’s procedure, Loop ileostomy, Stoma reversal
Plan
Vol 190 - N° 5
P. 717-720 - novembre 2005 Retour au numéro
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