CLOSURE OF LOOP ILEOSTOMY AFTER RESTORATIVE PROCTOCOLECTOMY

  • 1 July 1990
    • journal article
    • research article
    • Vol. 72  (4) , 263-265
Abstract
The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated recovery. One patient (3%) developed a superficial wound infection. Enterocutaneous fistula was not encountered. Small bowel obstruction occurred in three patients (8%) two of whom required a further laparotomy, but subsequently made an uncomplicated recovery. No incisional hernias were identified at follow-up. We conclude that loop ileostomy closure can be achieved with a low morbidity which should not preclude the use of this stoma in restorative proctocolectomy.