Short-term outcome of loop ileostomy closure under local anesthesia: results of a feasibility study.
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Publication year
2004Source
Diseases of the Colon and Rectum, 47, 11, (2004), pp. 1930-3ISSN
Publication type
Article / Letter to editor
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Organization
Surgery
Former Organization
Radboud University Nijmegen Medical Centre
Journal title
Diseases of the Colon and Rectum
Volume
vol. 47
Issue
iss. 11
Page start
p. 1930
Page end
p. 3
Subject
UMCN 3.3: Neurosensory disorders; UMCN 4.3: Tissue engineering and reconstructive surgeryAbstract
BACKGROUND: Loop ileostomy is an established technique for temporary deviation of bowel contents to avoid clinical anastomotic leakage, fistulas, or use of an inflamed colon. Anesthetic risks and postoperative complications of the closure operation result in a significant proportion of ileostomies that are never closed, factors that should be borne in mind when fashioning temporary stomas. We investigated loop ileostomy closure under local anesthesia as a way to avoid these problems. METHODS: As a feasibility study, 15 successive patients underwent closure of a loop ileostomy under local anesthesia. The patients' experience of the procedure, postoperative pain, analgesia requirements, and oral intake were prospectively evaluated. RESULTS: Procedures could be comfortably completed under safe doses of local anesthesia. Use of standard nasogastric tubes was avoided and immediately postoperatively patients were able to resume a full oral diet. Discharge was on the second postoperative day (median). Complications were paralytic ileus for two days (1 patient), anastomotic leakage (1 patient), and superficial wound infection (1 patient). CONCLUSION: Reversal of loop ileostomy can be performed safely and comfortably under local anesthesia. Postoperative results compare favorably with those of routine procedures.
This item appears in the following Collection(s)
- Academic publications [238441]
- Electronic publications [122522]
- Faculty of Medical Sciences [90373]
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