Continent Ileostomy as an Alternative to End Ileostomy
Continent ileostomy (CI) was once a prevalent surgical technique for patients who required total proctocolectomy but then gave way to ileal pouch-anal anastomosis (IPAA) after 1980. Although IPAA has been the gold standard procedure preferred by most patients when total proctocolectomy is required,...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/9740980 |
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| author | Xian-rui Wu Hao-xian Ke Ravi P. Kiran Bo Shen Ping Lan |
| author_facet | Xian-rui Wu Hao-xian Ke Ravi P. Kiran Bo Shen Ping Lan |
| author_sort | Xian-rui Wu |
| collection | DOAJ |
| description | Continent ileostomy (CI) was once a prevalent surgical technique for patients who required total proctocolectomy but then gave way to ileal pouch-anal anastomosis (IPAA) after 1980. Although IPAA has been the gold standard procedure preferred by most patients when total proctocolectomy is required, due to its imitation of physiological function of rectum and preserved function of anus, various complications have been observed with a relatively high rate of morbidity that could affect pouch longevity. Once serious complications such as pelvic abscesses and/or fistula occur, the pouch often needs to be removed. In addition, for some patients with a shortened small intestine or foreshortened mesentery, it is impossible for the ileal pouch to reach the pelvic floor, thus making the creation of an IPAA difficult. Previously, most of these patients would be referred for an end ileostomy, with an associated poor quality of life. In this circumstance, we propose that CI may deserve a reappraisal and serve as an alternative. In this article, we review the indications, contraindications, technique evolution, and outcomes of CI. |
| format | Article |
| id | doaj-art-74ec5d193d1c437198352331b3149d37 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-74ec5d193d1c437198352331b3149d372025-02-03T01:05:29ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/97409809740980Continent Ileostomy as an Alternative to End IleostomyXian-rui Wu0Hao-xian Ke1Ravi P. Kiran2Bo Shen3Ping Lan4Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510655, ChinaDepartment of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510655, ChinaDivision of Colorectal Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, New York 10032, USADepartment of Gastroenterology/Hepatology, The Cleveland Clinic Foundation, Cleveland, Ohio 44111, USADepartment of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510655, ChinaContinent ileostomy (CI) was once a prevalent surgical technique for patients who required total proctocolectomy but then gave way to ileal pouch-anal anastomosis (IPAA) after 1980. Although IPAA has been the gold standard procedure preferred by most patients when total proctocolectomy is required, due to its imitation of physiological function of rectum and preserved function of anus, various complications have been observed with a relatively high rate of morbidity that could affect pouch longevity. Once serious complications such as pelvic abscesses and/or fistula occur, the pouch often needs to be removed. In addition, for some patients with a shortened small intestine or foreshortened mesentery, it is impossible for the ileal pouch to reach the pelvic floor, thus making the creation of an IPAA difficult. Previously, most of these patients would be referred for an end ileostomy, with an associated poor quality of life. In this circumstance, we propose that CI may deserve a reappraisal and serve as an alternative. In this article, we review the indications, contraindications, technique evolution, and outcomes of CI.http://dx.doi.org/10.1155/2020/9740980 |
| spellingShingle | Xian-rui Wu Hao-xian Ke Ravi P. Kiran Bo Shen Ping Lan Continent Ileostomy as an Alternative to End Ileostomy Gastroenterology Research and Practice |
| title | Continent Ileostomy as an Alternative to End Ileostomy |
| title_full | Continent Ileostomy as an Alternative to End Ileostomy |
| title_fullStr | Continent Ileostomy as an Alternative to End Ileostomy |
| title_full_unstemmed | Continent Ileostomy as an Alternative to End Ileostomy |
| title_short | Continent Ileostomy as an Alternative to End Ileostomy |
| title_sort | continent ileostomy as an alternative to end ileostomy |
| url | http://dx.doi.org/10.1155/2020/9740980 |
| work_keys_str_mv | AT xianruiwu continentileostomyasanalternativetoendileostomy AT haoxianke continentileostomyasanalternativetoendileostomy AT ravipkiran continentileostomyasanalternativetoendileostomy AT boshen continentileostomyasanalternativetoendileostomy AT pinglan continentileostomyasanalternativetoendileostomy |