De-functioning stomas: A prospective controlled trial comparing loop ileostomy with loop transverse colostomy

1986 ◽  
Vol 73 (7) ◽  
pp. 566-570 ◽  
Author(s):  
N. S. Williams ◽  
D. G. Nasmyth ◽  
D. Jones ◽  
A. H. Smith
Keyword(s):  
Controlled Trial ◽  
Loop Ileostomy ◽  
Transverse Colostomy

scholarly journals Ileostomy or colostomy for temporary decompression of colorectal anastomosis: systematic review and meta-analysis

2008 ◽  
Vol 23 (3) ◽  
pp. 294-303 ◽  
Author(s):  
Katia Ferreira Güenaga ◽  
Suzana Angélica Silva Lustosa ◽  
Sarhan Sydney Saad ◽  
Humberto Saconato ◽  
Delcio Matos
Keyword(s):  
Large Scale ◽  
Loop Ileostomy ◽  
Skin Irritation ◽  
Colorectal Anastomosis ◽  
Length Of Hospital Stay ◽  
Transverse Colostomy ◽  
Time Interval ◽  
Stoma Formation ◽  
Statistical Heterogeneity ◽  
Stoma Prolapse

PURPOSE: The controversy regarding whether loop ileostomy or loop transverse colostomy is a better method for temporary decompression of colorectal anastomosis motivated this review. METHODS: Five randomized trials were included, with 334 patients: 168 in the loop ileostomy group and 166 in the loop transverse colostomy group. The outcomes analyzed were: 1. Mortality; 2. Wound infection; 3. Time of stoma formation; 4. Time of stoma closure; 5. Time interval between stoma formation and closure; 6. Stoma prolapse; 7. Stoma retraction; 8. Parastomal hernia; 9. Parastomal fistula; 10. Stenosis; 11. Necrosis; 12. Skin irritation; 13. Ileus; 14. Bowel leakage; 15. Reoperation; 16. Patient adaptation; 17. Length of hospital stay; 18. Colorectal anastomotic dehiscence; 19. Incisional hernia; 20. Postoperative bowel obstruction. RESULTS: Stoma prolapse was statistically significant (p = 0.00001), but with statistical heterogeneity; the sensitive analysis was applied, excluding the trials that included emergency surgery, and this showed: p = 0.02, with I² = 0% for the heterogeneity test. CONCLUSIONS: The outcomes reported were not statistically or clinically significant except for stoma prolapse. Better evidence for making the choice between loop ileostomy or loop colostomy requires large-scale randomized controlled trials.

scholarly journals Hand-suture versus stapling for closure of loop ileostomy: HASTA-Trial: a study rationale and design for a randomized controlled trial

Trials ◽  
2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Thorsten Löffler ◽  
◽  
Christoph M Seiler ◽  
Inga Rossion ◽  
Thomas Kijak ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Loop Ileostomy ◽  
Randomized Controlled
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