Vol. 4 No. 01 (2020)
Original Article

A Comparative Study on Outcome of Ileostomy versus Colostomy for Temporary Decompression of Colorectal Anastomosis

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  • Dr. Md. Abdur Rahim,
  • Dr. Fardhus,
  • Dr. Prodop Kumar Karmokar
Dr. Md. Abdur Rahim
Assistant professor,Department of surgery,Sher-e-Bangla medical College,Barishal
Dr. Fardhus
Assistant professor,Department of surgery,Sher-e-Bangla medical college,Barishal
Dr. Prodop Kumar Karmokar
Assistant professor,Department of surgery,Sher-e-Bangla medical college,Barishal

Published 20-09-2021

Copyright (c) 2020 The Planet

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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
A Comparative Study on Outcome of Ileostomy versus Colostomy for Temporary Decompression of Colorectal Anastomosis. Planet (Barisal) [Internet]. 2021 Sep. 20 [cited 2024 Nov. 22];4(01):9. Available from: https://bdjournals.org/index.php/planet/article/view/27

Abstract

Background: The use of loop ileostomy or loop transverse colostomy represents an important issue in colorectal surgery. The rate as well as the clinical outcome of anastomotic leakage in colorectal anastomosis necessitates a loop stoma for fecal diversion. The aim of this study was to determine the outcome of loop transverse colostomy compared to loop ileostomy as a temporary defunctioning stoma following colorectal surgery with colorectal anastomosis. Objectives: To find out the outcome of ileostomy versus colostomy for temporary decompression of colorectal anastomosis. Study Design: It was a prospective observational
study. Place of study: Sher-E-Bangla Medical College Hospital, Barisal .Result: In this study total number of patients 60, female were more in colostomy group. Median age was 62¬±¬¬¬¬12 years in ileostomy group and 64±14 years in colostomy group. . The two groups (IL, CL) were more or less similar to primary pathology where carcinoma rectum is the leading cause. The time of first stoma action is 2 days in ileostomy group and 4.5 days in colostomy group. There was a highly significant difference / etween the groups in the interval from stoma construction and its subsequent first action (<0.001). The length of stay in hospital was greater in the colostomy group. Distal suture line dehiscence confirmed radiological or on digital examination, occurred in 1 patient in the ileostomy group (3%) and 3 in the colostomy group (10%) expressed some discomfort on change of appliance. During closure of stoma, anstomotic leakage is occurred in 1 (3%) ileostomy patients and in 3 (9%) colostomy patients. Overall complication rate (table 3.4) specially wound infection, anastomotic leakage&hospital stay are more in colostomy group. Conclusion: Both ileostomy and colostomy provide a good operative outcome. But construction, as well as closure of loop colostomy had relatively more complications in routine use for temporary decompression of colorectal anastomosis.

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References

  1. Alexander-Williams J. Loop ileostomy and colostomy for fecal diversion. Ann R Coll Surg Engl 1974;54:141-8.
  2. Edwards DP, Leppington-Clarke A, Sexton R, et al ; stoma-related complications are frequent after transverse colostomy than loop ileostomy : a prospective randomized clinical trial. Br J Surg 2001; 88:360.
  3. Raimes SA, Mathew VV, Devlin HB. Temporary loop ileostomy. J R Soc Med 1984;77:738-41.
  4. Khoury GA, Waxman BP. Large bowel anastomosis 1. The healing process and sutured anastomosis: A review. Br JSurg 1983;70:61-3.
  5. Lewis A. Comment: Compaison of early and late closure of transverse loop colostomies. Ann R Coll Surg EnglI985;67:267.
  6. Lewis A,Weeden D.Early closure of transverse loop colostomy.Ann R Coll Surg Eng1982;64:57-8.7. Goligher JC. Surgery of trie anus, rectum and colon. 4th ed. London: Balliere Tindall 1984:75962.
  7. Gooszen AW, Geelkerken RH, Hermans J,et al.Temporary decompression after colorectal surgery: randomized comparison of loop ileostomy and loop
  8. colostomy. Br J Surg1998;85:76–79.
  9. Edward, Hallböök O, Rutergard J, Simert G, Sjödahl R. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer. Ann Surg. 2007;246:207-14.
  10. Hool GR, Church JM, Fazio VW. DecisionMaking in Rectal Cancer Surgery. Dis Colon Rectum. 1998;41:147-52.
  11. Aston and Everett, Meleagros L, Lewis AA. Colostomy or ileostomy after colorectal anastomosis? A randomized trial. Ann R CollSurg Engl.1986;69-75.
  12. Gorge AW, Geelkerken RH, Hernans J, Lagaay MB, Gooszen HG. Temporary decompression after colorectal surgery: randomized comparison of loop
  13. ileostomy and loop colostomy. Br J Surg. 1998;85:76-9.
  14. Edwards DP, Leppington-Clarke A, Sexton R, Heald RJ, Moran BJ. Stoma-related complications are more frequent after transverse colostomy than loop
  15. ileostomy: a prospective randomized clinical trial. Br J Surg. 2001;88:360-3.
  16. Law WL, Chu KW, Choi K. Randomized clinical trial comparing loop ileostomy and loop transverse colostomy for fecal diversion following total mesorectal excision. Br J Surg. 2002;89:704-8. 16. Wexner SD, Taranow DA, Johansen OB, Itzkowitz F, Daniel N, Nogueras JJ. Loop ileostomy is a safe option for fecal diversion. Dis Colon Rectu
  17. Williams NS, Nasmyth DG, Jones D, Smith AH. Defunctioning stomas: a prospective controlled trial comparing loop ileostomy with loop transverse colostomy. Br J Surg. 1986;73:566-70. m. 1993;36:34954.
  18. Wexner SD, Taranow DA, Johansen OB, Itzkowitz F, Daniel N, Nogueras JJ. Loop ileostomy is a safe option for fecal diversion. Dis Colon Rectum.
  19. ;36:34954
  20. Torkington J, Khetan N, Jamison MH. Temporary decompression after colorectal surgery: randomized comparison of loop ileostomy and loop colostomy [letter]. Br J Surg. 1998;85:1452.
  21. O'Leary DP, Fide CJ, Foy C, Lucarotti ME. Quality of life after low anterior resection with total mesorectal excision and temporary loop ileostomy for rectal carcinoma. Br J Surg. 2001;88:1216-20
  22. Göhring U, Lehner B, Schlag P. Ileostomy versus colostomy as temporary deviation stoma in relation to stoma closure. Chirurg. 1988;59(12):842-44.
  23. Silva MA, Ratnayake G, Deen KI. Quality of life of stoma patients: temporary ileostomy versus colostomy. World J Surg. 2003;27(4):421-4.
  24. Turnbull RB, Hawk WA, Weakley FL. Surgical treatment of toxic megacolon. AmJ Surg 1971;122:325-31.
  25. Alexander-Williams J. Loop ileostomy and colostomy forfaecal diversion. Ann R Coll Surg Engl 1974;54:141-8.
  26. Raimes SA, Mathew VV, Devlin HB. Temporary loopileostomy. J R Soc Med 1984;77:738-41.
  27. Khoury GA, Waxman BP. Large bowel anastomosis 1. The healing process and sutured anastomosis: A review. Br JSurg 1983;70:61-3.
  28. Lewis A. Comment: Compaison of early and late closure of transverse loop colostomies. Ann R Coll Surg EnglI985;67:267.
  29. Lewis A, Weeden D. Early closure of transverse loop colostomy. Ann R Coll Surg Engl 1982;64:57-8.
  30. Goligher JC. Surgery of trie anus, rectum and colon. 4th ed. London: Balliere Tindall 1984:75962.
  31. Fielding LP, Stewart-Brown S, Hittinger R, Blesovsky L. Coveing stoma or elective anteior resection of the rectum:An outmoded operation. AmJ Surg
  32. ;147:524-30.
  33. Lane RHS, Parks AG. Function of the anal sphincter sollowing coloanal anastomosis. Br J Surg 1977;64:596-9.
  34. Aston CM, Everett WG. Compaison of early and late closures of transverse loop colostomies. Ann R Coll Surg Engl 1984;66:331-3.
  35. Fasth S, Hulten L, Palselius I. Loop ileostomy, an attractive alternative to a temporary transverse colostomy. Acta Chir Scand 1980;146:203-7.
  36. Lane RHS, Parks AG. Function of the anal sphincters allowing coloanal anastomosis. Br J Surg 1977;64:596-9.
  37. Raimes Everett WG. Comparison of early and late closures of transverse loop colostomies. Ann R Coll Surg Engl 1984;66:331-3.
  38. Fielding and his colleague, Loop ileostomy, an attractive alternative to a temporary transverse colostomy. Acta Chir Scand 1980;146:203-7.
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BD Journals.org is a publishing platform founded by Professor (Dr.) HN Sarker in early 2021. The aim of the publication platform is to promote research in Bangladesh and serves as a media for the dissemination of scientific information and recent knowledge among the readers. Two reputed peer reviewed journals “The Planet”- an official journal of Sher-E-Bangla Medical College, Barishal, Bangladesh and “The Insight”- an official journal of Sheikh Sayera Khatun Medical College, Gopalganj, Bangladesh are now being published in this website.





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