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World J Gastroenterol. Aug 14, 2008; 14(30): 4776-4778
Published online Aug 14, 2008. doi: 10.3748/wjg.14.4776
Modification of end-loop ileostomy for the treatment of ischemic or radiation enteritis
Konstantinos Tepetes, Paraskevi Liakou, Ioannis Balogiannis, Maria Kouvaraki, Konstantinos Hatzitheofilou
Konstantinos Tepetes, Paraskevi Liakou, Ioannis Balogiannis, Maria Kouvaraki, Konstantinos Hatzitheofilou, University of Thessaly, University Hospital of Larissa, Larissa 41100, Greece
Author contributions: Tepetes K conceived the technique and the study, is the main surgeon of the reported cases; Liakou P performed data acquisition and follow up of the patients; Balogiannis I wrote the manuscript; Kouvaraki M had a supportive contribution and revised the manuscript; Hatzitheofilou K supervised data acquisition and follow up of the patients.
Correspondence to: Konstantinos Tepetes, MD, DSc, FACS, Assistant Professor of Surgery, University Hospital of Larissa, Larissa 41100, Greece. ktepetes@yahoo.co.uk
Telephone: +30-24-10682729 Fax: 30-24-10682803
Received: April 26, 2008
Revised: June 30, 2008
Accepted: July 7, 2008
Published online: August 14, 2008
Abstract

AIM: To evaluate a new technique of temporary ileal anastomotic stoma, following small bowel resection, in patients where the anastomosis is anticipated to have borderline margins with dubious viability.

METHODS: Five patients underwent enterectomy and partially anastomosed end-loop ileostomy at the University Hospital of Larissa between 2000 and 2006. Enterectomy was performed because of conditions such as mesenteric vascular occlusive disease, radiation entritis and small bowel injury.

RESULTS: Postoperatively, none of the patients developed any stoma-related or anastomotic complications. There were no major complications. All patients were discharged between the 8th and 15th day after the procedure, and the stoma was closed 3 wk to 4 wk later.

CONCLUSION: We believe that our proposed modification of end-loop ileostomy 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 or radiation-induced enteritis, and in the management of severe intestinal trauma.

Keywords: Anastomotic stoma, Loop ileostomy, Ischemic enteritis, Radiation enteritis