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Ileostomy revision using noncutting linear stapler

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Abstract:

Abstract Objective 

The study aimed to evaluate the outcome of ileostomy revision for retraction and prolapse using noncutting linear stapler. Method 

Forty five patients undergoing a total of 94 stapled revisions between 1.1.1995 and 31.12.2005 were identified by the unique code for stomal revision. Medical records for all patients were examined. Results 

Thirty-five (77.8%) of the 45 patients were women. In 43 (95.6%), the indication was stomal retraction. Median follow-up was 28 months (2–122). One or more stapling procedures resulted in a normal stoma at follow-up in 18 (41.9%) of 43 patients treated for stomal retraction. When other types of repair were included, a normal stoma was achieved in 30 (69.8%) of 43 patients. Patients with a low BMI had the lowest success rate (44%), but none of the possible factors analysed for influence on success had a statistically significant impact. Two patients were treated for prolapse, and both needed other types of revision. Conclusions 

Stapled ileostomy revision is easy to perform and has a low morbidity. Less than half the patients achieve a satisfactory long-term result after one or more stapling procedures. Many patients still benefit from other types of revision when stapling has failed.

Keywords: Complications; chron disease; re-operation; surgical technique; ulcerative colitis

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1463-1318.2007.01458.x

Publication date: October 1, 2008

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