A comparison of complications associated with colostomy reversal versus ileostomy reversal

Christopher Bell, Massimo Asolati, Elizabeth Hamilton, Jason Fleming, Fiemu Nwariaku, George Sarosi, Thomas Anthony

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)717-720
Number of pages4
JournalAmerican journal of surgery
Volume190
Issue number5
DOIs
StatePublished - Nov 1 2005

Keywords

  • Hartmann's procedure
  • Loop ileostomy
  • Stoma reversal

ASJC Scopus subject areas

  • Surgery

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