Comparison of Outcomes After Restorative Proctocolectomy With or Without Defunctioning Ileostomy

Comparison of outcomes after restorative proctocolectomy with or without defunctioning ileostomy.

OBJECTIVE To evaluate postoperative adverse events and functional outcomes of patients undergoing restorative proctocolectomy with or without proximal diversion. DATA SOURCES The literature was searched by means of MEDLINE, Embase, Ovid, and Cochrane databases for all studies published from 1978 through July 15, 2005. STUDY SELECTION Comparative (randomized and nonrandomized) studies evalua...

Defunctioning loop ileostomy with restorative proctocolectomy for rectal cancer: Friend or foe?

Objectives: Temporary ileostomy is used to decrease morbidity from anastomotic leakages (ALs). However, ileostomies are associated with complications (i.e., stoma-related complications; SRCs), ileus due to stenosis, dehydration, and the need for a second operation. Here we retrospectively evaluated the impact of SRCs on the treatment of rectal cancer. Methods: We identified 180 consecutive pati...

commentary on laparoscopic restorative proctocolectomy without diverting ileostomy

laparoscopic restorative proctocolectomy without diverting loop ileostomy in patients with familial adenomatous polyposis

background: familial adenomatous polyposis (fap) is a well-known entity for specialistrnand it has near 100% chance of malignant changes if does not managed surgically. in orderrnto reduce the disadvantages of laparatomy and diverting ileostomy we present ourrnresults of laparoscopic total proctocolectomy without diverting ileostomy.rnobjectives: the aim of this study was to present the results...

Factors affecting pouch-related outcomes after restorative proctocolectomy

PURPOSES Restorative proctocolectomy (RPC) with ileal pouch anal anastomosis (IPAA) is the procedure of choice for patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC) despite morbidities that can lead to pouch failure. We aimed to identify factors associated with pouch-related morbidities. METHODS A retrospective analysis of patients who underwent RPC with IPAA was ...