EXPERIMENTS IN THE DEVELOPMENT OF A CONTINENT ILEOSTOMY - A SIMPLIFIED TECHNIQUE WITHOUT A RESERVOIR IN DOGS

  • 1 January 1981
    • journal article
    • research article
    • Vol. 90  (3) , 459-463
Abstract
A continent ileostomy without a reservoir was constructed in 5 dogs with minimal morbidity and mortality rates. The technique involved constructing a continent valve by retrograde intussusception of 8 cm of the terminal ileum, which was then exteriorized as an end ileostomy. The terminal ileum was emptied every 2 h in the 1st wk, 4 h in the 2nd wk, 6 h in the 3rd wk, and every 8 h thereafter. This allowed it to gradually dilate and form its own natural reservoir. The follow-up period was 3-7 mo. The animals remained fully continent to gas and feces. The reservoir capacity after 2 mo. was 600 cm3. No pressure changes within the reservoir were observed with continuous infusion of saline solution.

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