Ghost Ileostomy Versus Conventional Loop Ileostomy in Patients Undergoing Low Anterior Resection for Rectal Cancer | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 3, July 2025, Pages 1009-1015 PDF (421.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.355372.1368 | ||
| Authors | ||
| Mahmoud El-kharadly* ; Yasser Mohamed Abd Elsamei; Ahmed Helmy Ali Yousef; Ibrahim Magid Abdel-Maksoud | ||
| Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: Ghost ileostomy, which may be opened with a quick surgery in the event that there are any indications of anastomotic leak. Several cases won’t receive a "real" stoma as a result of this approach, but in cases who are experiencing anastomotic leakage, early conversion of the ghost ileostomy into a loop ileostomy is thought to be able to reduce the anastomotic leakage clinical effects to a level equivalent to that of a standard protective ileostomy. Patients and methods: Randomized controlled study at the colorectal surgery unit at Ain Shams University Hospitals from November 2022 till November 2024 Simple Random Sampling of 20 cases for each group underwent elective Low Anterior Resection. Results: Leakage occurred in 10% of cases in both groups without significant distinction between them. All cases in Group A (control group) 'conventional loop ileostomy' required another operation (Closure of ileostomy), whereas Group B 'ghost ileostomy' only included two cases, resulting in a highly significant distinction (p-value less than 0.001). With a very significant (p-value less than 0.001), the median hospital stay for cases in Group B was substantially longer at 8 days (IQR: 79-) than for those in Group A, which was 5 days (IQR: 56-). Group A saw a significantly greater rate of readmission to the emergency room (15%) than Group B (0%). Conclusion: With no discernible distinction in postoperative morbidity or mortality, ghost ileostomy is a suitable alternative to conventional loop ileostomy for individuals receiving elective low anterior resection. | ||
| Keywords | ||
| Ghost ileostomy; low anterior resection; rectal cancer | ||
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