178873

End-loop Stoma versus the Traditional Two Separate Stomas after Intestinal Resection

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Last updated: 05 Jan 2025

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Abstract

Aim:  To  compare  the  technique  of  temporary  partial  intestinal  anastomosis  versus two separate stomas, following large bowel resection, in patients where the anastomosis is anticipated to have borderline margins with dubious viability. Patients and methods: Thirty patients underwent bowel resection, Group A (15 patients) had partially anastomosed end-loop stoma and Group B (15 patients had traditional two stomas technique. These operations were performed at the Ain Shams University Hospitals between November 2011 and October 2013. Patients with marked difference in the diameter between the cut ends of bowel loops after resection were added to the study. Bowel resection was performed because of conditions such as ischemic colitis, bowel mass and bowel injury. Results: Significant decrease in the intraoperative time was found where end loop stoma was constructed and also the operative time of stoma closure to regain bowel continuity in group A. As regard the complications, postoperatively, 1 of the patients of group A developed parastomal hernia and one patient of group B developed stoma necrosis which necessitated refashioning of the stoma. There were no major complications in group A. All patients were discharged between the 8th and 15th day after the procedure, and the stoma was closed 3 weeks to 12 weeks later. Conclusion: We believe that end-loop stoma is a simple, quick and safe technique with minimal stoma-related morbidity, and with simple and safe reversion. This technique can be considered as a useful option in the treatment of ischemic enteritis, and in the management of severe intestinal trauma.

DOI

10.21608/asjs.2016.178873

Keywords

Endloop stoma, separate stoma, resection

Authors

First Name

Wafi Fouad

Last Name

Salib

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Affiliation

General Surgery Department, Vascular Surgery Department Ain Shams University, Cairo, Egypt.

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First Name

Ramy Mikhael

Last Name

Nageeb

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Affiliation

General Surgery Department, Vascular Surgery Department Ain Shams University, Cairo, Egypt.

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First Name

Mohamed Abd El-Monem Abd El-Salam

Last Name

Rizk

MiddleName

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Affiliation

General Surgery Department, Vascular Surgery Department Ain Shams University, Cairo, Egypt.

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Volume

9

Article Issue

2

Related Issue

25660

Issue Date

2016-07-01

Receive Date

2021-06-21

Publish Date

2016-07-01

Page Start

155

Page End

160

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_178873.html

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https://asjs.journals.ekb.eg/service?article_code=178873

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2

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

End-loop Stoma versus the Traditional Two Separate Stomas after Intestinal Resection

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Article

Created At

23 Jan 2023