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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,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199532/ https://www.ncbi.nlm.nih.gov/pubmed/32382274 http://dx.doi.org/10.1155/2020/9740980 |
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author | Wu, Xian-rui Ke, Hao-xian Kiran, Ravi P. Shen, Bo Lan, Ping |
author_facet | Wu, Xian-rui Ke, Hao-xian Kiran, Ravi P. Shen, Bo Lan, Ping |
author_sort | Wu, Xian-rui |
collection | PubMed |
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 | Online Article Text |
id | pubmed-7199532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-71995322020-05-07 Continent Ileostomy as an Alternative to End Ileostomy Wu, Xian-rui Ke, Hao-xian Kiran, Ravi P. Shen, Bo Lan, Ping Gastroenterol Res Pract Review Article 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. Hindawi 2020-01-10 /pmc/articles/PMC7199532/ /pubmed/32382274 http://dx.doi.org/10.1155/2020/9740980 Text en Copyright © 2020 Xian-rui Wu et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Wu, Xian-rui Ke, Hao-xian Kiran, Ravi P. Shen, Bo Lan, Ping Continent Ileostomy as an Alternative to End Ileostomy |
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 |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199532/ https://www.ncbi.nlm.nih.gov/pubmed/32382274 http://dx.doi.org/10.1155/2020/9740980 |
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