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| Diverting Ileostomy |
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Diverting Ileostomy is performed during the first surgery of the Ileoanal J-pouch Procedure. Until the patient is taken off all medicine, temporary ileostomy diverts the waste content of ileum (small bowel) away from the surgically created pouch so that it can heal. Six weeks after the first surgery, in the second surgery the temporary ileostomy is reversed & regular bowel function is restored. |
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(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
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01/01/2003 12:00 AM
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Current Controversies in Pouch Surgery
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Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. These modifications of the technique are discussed in this review, limited to the current points of controversy. We reviewed the current literature describing restorative proctocolectomy with ileal pouch anal anastomosis. The current "hot topics" for debate are transanal mucosectomy with hand-sewn anastomosis versus the double-stapled technique, the use of diverting ileostomy, indeterminate colitis, the role of laparoscopy, and indications for pouch surgery in the elderly. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with active prospective evaluation of the procedure are required to settle these issues. Patients must be fully informed to understand inherent risks of each choice.
(C) 2003 Southern Medical Association
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