Short-term Outcome of Early Closure of Diverting Loop Ileostomy in Patients with Emergency Benign Colo-rectal Pathologies | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 2, April 2025, Pages 88-92 PDF (368.97 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.352960.1178 | ||
| Authors | ||
| Refaat S. Salama; Emad Abdelrahman* ; Ebtesam ND Attia; Mohamed E. Ramadan | ||
| Department of General Surgery, Faculty of Medicine, Benha University, Benha, Egypt | ||
| Abstract | ||
| Aim of work: To investigate the short-term outcome of early closure of loop ileostomy in cases diverted for emergency benign indications after distal colectomies and primary anastomosis. Patients and methods: The present prospective randomized controlled study included 62 patients presented with non-malignant distal gastrointestinal emergencies including obstruction, and destructive trauma who were randomly allocated into two groups. Group A included 31 patients: who underwent early revision for the simple loop ileostomy 3 weeks after the primary intervention. Group B included 31 patients who underwent early revision for the simple loop ileostomy 3 months after the primary intervention. Follow-up was planned for a month for any evolving complications including wound complications (Midline and stoma site), unexplained abdominal pain (Suspicious for anastomotic leakage), ileus, unexplained fever, and oral intake intolerance. Results: The mean age was 36.4±5.3 and 37.2±4.7 years for groups A and B respectively. The main cause of the primary intervention was sigmoid injuries followed by rectal injuries in both groups. There was a statistically significant higher rate of post-reversal ileus in Group B (p=0.001*). The incidence of stomal complications including peristomal infections, mucosal sloughing, stoma retraction, and parastomal hernias were higher in Group B. Conclusion: Within carefully tailored selection criteria, patients with diverting loop ileostomy protecting a distal colonic anastomosis after colonic resection for emergency non-malignant indications can have their ileostomies reversed early. | ||
| Keywords | ||
| Loop ileostomy; early reversal; stoma complications | ||
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