TY - JOUR
T1 - A comparison of complications associated with colostomy reversal versus ileostomy reversal
AU - Bell, Christopher
AU - Asolati, Massimo
AU - Hamilton, Elizabeth
AU - Fleming, Jason
AU - Nwariaku, Fiemu
AU - Sarosi, George
AU - Anthony, Thomas
PY - 2005/11
Y1 - 2005/11
N2 - Background: The incidence of complications after reversal of Hartmann's procedure is unknown. This study compares the morbidity of Hartmann's reversal versus loop ileostomy reversal. Methods: Two groups of 20 patients were studied retrospectively over a 5-year period. One group underwent Hartmann's takedown, and the other underwent loop ileostomy takedown. Postoperative complications were compared between the 2 groups. Results: Similar demographics were noted between each group. The most common initial indications for Hartmann's procedure were diverticulosis (11 patients, 55%) and colon cancer (4 patients, 20%). For patients who had undergone colectomy with primary anstomosis and ileostomy, colon cancer was the most common indication (12 patients, 60%) followed by diverticulosis (3 patients, 15%). Complications were more common after Hartmann reversal than loop ileostomy reversal (16 complications/11 patients versus 6 complications/4patients, P = .047). Conclusion: Segmental colonic excision with anastomosis and loop ileostomy may be an attractive alternative to minimize morbidity with stoma reversal.
AB - Background: The incidence of complications after reversal of Hartmann's procedure is unknown. This study compares the morbidity of Hartmann's reversal versus loop ileostomy reversal. Methods: Two groups of 20 patients were studied retrospectively over a 5-year period. One group underwent Hartmann's takedown, and the other underwent loop ileostomy takedown. Postoperative complications were compared between the 2 groups. Results: Similar demographics were noted between each group. The most common initial indications for Hartmann's procedure were diverticulosis (11 patients, 55%) and colon cancer (4 patients, 20%). For patients who had undergone colectomy with primary anstomosis and ileostomy, colon cancer was the most common indication (12 patients, 60%) followed by diverticulosis (3 patients, 15%). Complications were more common after Hartmann reversal than loop ileostomy reversal (16 complications/11 patients versus 6 complications/4patients, P = .047). Conclusion: Segmental colonic excision with anastomosis and loop ileostomy may be an attractive alternative to minimize morbidity with stoma reversal.
KW - Hartmann's procedure
KW - Loop ileostomy
KW - Stoma reversal
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U2 - 10.1016/j.amjsurg.2005.07.009
DO - 10.1016/j.amjsurg.2005.07.009
M3 - Article
C2 - 16226946
AN - SCOPUS:26844447513
SN - 0002-9610
VL - 190
SP - 717
EP - 720
JO - American journal of surgery
JF - American journal of surgery
IS - 5
ER -